National Provider Identifier Database

JEFFREY J PETERSON, MD – NPI #1972552107
Diagnostic Radiology

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


Contact Information

JEFFREY J PETERSON, MD
1000 JOHNSON FERRY RD
ATLANTA, GA30342
Phone: 404-851-6323
Fax: 404-303-3747
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JEFFREY J PETERSON

NPI Number 1972552107
Credentials MD
Entity Individual
Enumeration date 05/06/2006
Last updated 05/06/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 066883
  • MN License #: 47555
  • IA Medicaid: 0592113
  • MN Medicaid: 390400800
  • WI Medicaid: 34649100
  • MN Other: 1935877 AMERICA'S PPO
  • MN Other: 171P6PE BLUE CROSS/BLUE SHIELD OF MN
  • MN Other: 9249279 DAKOTA CARE
  • MN Other: HP52064 HEALTHPARTNERS
  • MN Other: 16-03566 MEDICA
  • MN Other: P00252409 RAILROAD MEDICARE
  • MN Other: 135108 UCARE
  • WI Other: P00285261 RAILROAD MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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