MEDICARE: GENERAL PEER GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1437083318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GENERAL PEER GROUP LLC

Provider Business Mailing Address
First Line	:	77 HUNTINGTON RD
Second Line	:
City	:	LOUISBURG
State	:	NC
Zip	:	27549-7442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	77 HUNTINGTON RD
Second Line	:
City	:	LOUISBURG
State	:	NC
Zip	:	27549-7442
Country	:	US
Telephone Number	:	919-791-9552
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	VINCENT HICKS
Credential	:
Telephone Number	:	919-791-9552

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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