Susan W Peterson (NPI# 1992869721, PAC ID# 5395780365) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1992869721 |
| PAC ID by PECOS | 5395780365 |
| Professional Enrollment ID | I20100824000596 |
| Full Name | Susan W Peterson |
| Organization Legal Name | APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS |
| Address |
409 Tallulah Rd Robbinsville NC 28771-8500 |
| Phone Number | 8284796434 |
| Gender | F |
| Medical School | UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 5395050827 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340002 | MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE |
| Address | Phone | Organization |
|---|---|---|
| 7 Mcdowell St, Suite 200, Asheville, NC 28801-4116 | 8282574745 | APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS |
| 711 New Leicester Hwy, Asheville, NC 28806-1048 | 8282533717 | APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS |
| 409 Tallulah Rd, Robbinsville, NC 28771-8500 | 8284796434 | APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS |
| 154 Medical Park Loop, Suite 210, Sylva, NC 28779-5271 | 8283393999 | APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS |
| Organization Legal Name | APPALACHIAN MOUNTAIN COMMUNITY HEALTH CENTERS |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deeanna Elisabeth Lowery | Physician Assistant | Appalachian Mountain Community Health Centers | 100 Thomas Heights Rd, Suite 201, Franklin, NC 28734-9799 |
| Jill L Raymer | Nurse Practitioner | Appalachian Mountain Community Health Centers | 409 Tallulah Rd, Robbinsville, NC 28771-8500 |
| Samantha K Thompson | Physician Assistant | Appalachian Mountain Community Health Centers | 4048 E Us 64 Alt, Suite 1, Murphy, NC 28906-6966 |
| Kontia Jontae Grant | Nurse Practitioner | Appalachian Mountain Community Health Centers | 409 Tallulah Rd, Robbinsville, NC 28771-8500 |
| Summer S Barlow | Family Medicine | Appalachian Mountain Community Health Centers | 100 Thomas Heights Rd, Suite 201, Franklin, NC 28734-9799 |
| Laurie Mclean Shirey | Nurse Practitioner | Appalachian Mountain Community Health Centers | 100 Thomas Heights Rd, Suite 201, Franklin, NC 28734-9799 |
| Joan A Queng | Family Medicine | Appalachian Mountain Community Health Centers | 100 Thomas Heights Rd, Suite 201, Franklin, NC 28734-9799 |
| Timothy Alexander Poulton | Family Medicine | Appalachian Mountain Community Health Centers | 100 Thomas Heights Rd, Suite 201, Franklin, NC 28734-9799 |
| Susanna S Kivette | Physician Assistant | Appalachian Mountain Community Health Centers | 100 Thomas Heights Rd, Suite 201, Franklin, NC 28734-9799 |
| Lydia Elliott | Nurse Practitioner | Appalachian Mountain Community Health Centers | 100 Thomas Heights Rd, Suite 201, Franklin, NC 28734-9799 |
| Street Address |
409 TALLULAH RD |
| City | ROBBINSVILLE |
| State | NC |
| Zip | 28771-8500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill L Raymer | Nurse Practitioner | Appalachian Mountain Community Health Centers | 409 Tallulah Rd, Robbinsville, NC 28771-8500 |
| Kontia Jontae Grant | Nurse Practitioner | Appalachian Mountain Community Health Centers | 409 Tallulah Rd, Robbinsville, NC 28771-8500 |
| Summer Hettinger | Nurse Practitioner | Appalachian Mountain Community Health Centers | 409 Tallulah Rd, Robbinsville, NC 28771-8500 |
| Judith J Seago | Pediatric Medicine | Mission Medical Associates Inc | 409 Tallulah Rd, Robbinsville, NC 28771-8500 |
| City | ROBBINSVILLE |
| Zip Code | 28771 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | ROBBINSVILLE + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Susan W Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.