RANDALL E. PETERSON M.D. – NPI #1902124308
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

RANDALL PETERSON is a physician located in GROVETOWN, GA. NPPES has assigned the NPI number 1902124308 to RANDALL PETERSON on May 10, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 2 years ago on Mar 21, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RANDALL PETERSON below.

NPI Profile for
RANDALL E. PETERSON

NPI Number
1902124308
Enumeration Date

(more than 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
RANDALL E. PETERSON
Credentials
M.D.
Primary location
4039 GATEWAY BLVD
GROVETOWN, GA 30813-3195
Phone: (706) 922-1600 Fax: (706) 922-1010
Mailing address
PO BOX 2510
EVANS, GA 30809-2510
Phone: (706) 650-7799 Fax: (706) 650-9540
Sole Proprietor
No
Updated
Certification Date
Mar 21, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 GA 72759

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
JC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY - Graduated 2010
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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