EDWINA ANTOINNETTE PETERS


Address: 3637 Peachtree Rd Ne, Atlanta, GA 30319-1252
Phone: 4049263541

EDWINA ANTOINNETTE PETERS (NPI# 1639433469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639433469
Entity Type Individual
Full Name EDWINA ANTOINNETTE PETERS
Credential FNP-BC
Practice Address 3637 Peachtree Rd Ne
Atlanta
GA 30319-1252
Mailing Address 6903 Winding Wade Trl
Austell
GA 30168-6353
Practice Telephone 4049263541
Practice Fax Number 4049263546
Mailing Telephone (404) 926-3541
Enumeration Date 2012-06-26
Last Update Date 2017-06-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
RN170346 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3637 PEACHTREE RD NE
City ATLANTA
State GA
Zip Code 30319-1252

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083718910 Georgia Cvs Pharmacy, L.L.C. Pharmacy 3637 Peachtree Rd Ne, Atlanta, GA 30319-1252 2006-09-12
1154950558 Obianuju Nwabueze Pharmacist 3637 Peachtree Rd Ne, Atlanta, GA 30319-1252 2020-04-07
1043795776 Kizzy Ohenewaa Ayim-dakwa Nurse Practitioner 3637 Peachtree Rd Ne, Atlanta, GA 30319-1252 2018-09-27
1659779809 Moneka Angilene Patterson Nurse Practitioner 3637 Peachtree Rd Ne, Atlanta, GA 30319-1252 2014-12-19
1275964447 Shalia Shani Gregory Nurse Practitioner 3637 Peachtree Rd Ne, Atlanta, GA 30319 2013-12-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215556717 Ronika Cotton Marriage & Family Therapist 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 2020-04-14
1093369548 Gordon Peace Physical Therapist 705 Town Blvd Ne S 550, Atlanta, GA 30319 2019-08-01
1124682281 Tiffany Nicole Blamble Physician Assistant 2235 Briarwood Way Ne, Brookhaven, GA 30319 2019-04-24
1891286860 Sandy Springs Center for Urologic Surgery LLC Clinic/Center 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 2018-05-24
1578070355 Aaron Knott Physical Therapist 4260 Peachtree Road, Atlanta, GA 30319 2018-01-03
1639683832 Lauren Hamann Physical Therapist 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 2017-11-27
1760993984 Caroline M. Brackette Counselor 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 2017-10-15
1700328713 Christina Head Counselor 1350 Dresden Drive, Atlanta, GA 30319 2016-11-08
1528432572 Hillary Allyn Olivier Occupational Therapist 3747 Peachtree Rd, Atlanta, GA 30319 2015-11-13
1285025304 Karl Weismantel Physical Therapy Assistant 1000 Lenox Park Blvd, Atlanta, GA 30319 2015-02-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1265042162 Habida Elachola Nurse Practitioner 2533 Henderson Mill Rd Ne, Atlanta, GA 30345-2135 2020-08-05
1184249815 Nichelle Osborne Nurse Practitioner 5785 Roswell Rd, Atlanta, GA 30328-4903 2020-06-09
1902427149 Oasis Health Services, LLC Nurse Practitioner 6595 Roswell Rd Ste G1255, Atlanta, GA 30328-3152 2020-04-28
1063042927 Mary Gillon Hall Nurse Practitioner 90 La Rue Pl Nw, Atlanta, GA 30327-4075 2020-01-20
1396382321 Stacey Brinkley Nurse Practitioner 3725 Princeton Lakes Pkwy Sw Apt 7304, Atlanta, GA 30331-5564 2019-12-10
1801439401 Debadrita Mondal Nurse Practitioner 180 Jackson St Ne Apt 2506, Atlanta, GA 30312-1373 2019-10-26
1265075170 Cecile Veronica Maner Nurse Practitioner 105 Collier Rd Nw Ste 3040, Atlanta, GA 30309-1733 2019-10-23
1194366567 Tondalaya K Sanford Nurse Practitioner 3119 Fonseca Pass, Atlanta, GA 30349-8140 2019-10-07
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Competitor

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City ATLANTA
Zip Code 30319

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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