JEFFREY J. PETERSON MD – NPI #1972552107
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JEFFREY PETERSON is a radiologist located in ATLANTA, GA. NPPES has assigned the NPI number 1972552107 to JEFFREY PETERSON on May 06, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 7 years ago on May 06, 2019. 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 JEFFREY PETERSON below.

NPI Profile for
JEFFREY J. PETERSON

NPI Number
1972552107
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEFFREY J. PETERSON
Credentials
MD
Primary location
1000 JOHNSON FERRY RD
ATLANTA, GA 30342
Phone: (404) 851-6323 Fax: (404) 303-3747
1 Other location(s):
1221 Nicollet Ave
Suite 600
Minneapolis, MN 55403-2420
Phone: (612) 573-2200
Fax: (612) 573-2274
Mailing address
5605 GLENRIDGE DR STE 325
ATLANTA, GA 30342-1365
Phone: (678) 553-7783 Fax: (678) 553-7793
Sole Proprietor
No
Updated
Identifiers

Identifiers for JEFFREY PETERSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAMERICA'S PPOMN1935877
OTHERBLUE CROSS/BLUE SHIELD OF MNMN171P6PE
OTHERDAKOTA CAREMN9249279
OTHERHEALTHPARTNERSMNHP52064
OTHERMEDICAMN16-03566
OTHERRAILROAD MEDICAREMNP00252409
OTHERRAILROAD MEDICAREWIP00285261
OTHERUCAREMN135108
MEDICAIDIA0592113
MEDICAIDMN390400800
MEDICAIDWI34649100
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
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 MN 47555

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

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
Affiliations
JEFFREY PETERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHSIDE HOSPITAL
      1000 JOHNSON FERRY ROAD, NE
      ATLANTA, GA 30342
    • NORTHSIDE HOSPITAL CHEROKEE
      450 NORTHSIDE CHEROKEE BOULEVARD
      CANTON, GA 30115
    • NORTHSIDE HOSPITAL FORSYTH
      1200 NORTHSIDE FORSYTH DRIVE
      CUMMING, GA 30041
    • NORTHSIDE HOSPITAL GWINNETT
      1000 MEDICAL CENTER BOULEVARD
      LAWRENCEVILLE, GA 30046

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.