MR. MATTHEW A. PETERS (NPI# 1043312572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043312572 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW A. PETERS |
| Credential | PA-C |
| Practice Address |
820 St. Sebastian Way Suite 8a Augusta GA 30901-0000 |
| Practice Telephone | 7067226900 |
| Practice Fax Number | 7067225118 |
| Mailing Telephone | 7067226900 |
| Mailing Fax Number | 7067225118 |
| Enumeration Date | 2006-09-04 |
| Last Update Date | 2009-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA1183 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 004878 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
004878 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 150672976 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528212248 | Matthew David Peters | Counselor | 150 Denby St, Suite A, Romeo, MI 48065-5226 | 2008-11-07 |
| 1730171984 | Matthew E Peters | Family Medicine | 4849 E Main St, Columbus, OH 43213-3161 | 2005-08-15 |
| 1831710839 | Matthew Gerard Peters | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2020-04-30 |
| 1083256986 | Matthew Peters | Technician, Other | 2075 Jordan Ave, Juneau, AK 99801-8095 | 2019-10-11 |
| 1639674336 | Matthew Wyatt Peters | Student in an Organized Health Care Education/Training Program | 401 Parnassus Ave, San Francisco, CA 94143-2211 | 2018-03-26 |
| 1912439506 | Matthew Peters | Family Medicine | 2821 Daggett Ave Ste 200, Klamath Falls, OR 97601-1130 | 2017-04-01 |
| 1932630423 | Matthew Peters | Internal Medicine | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2017-03-25 |
| 1104218288 | Matthew James Peters | Pharmacist | 2320 W Peoria Ave Ste D132, Phoenix, AZ 85029-4768 | 2015-02-25 |
| 1932456829 | Matthew Kristopher Peters | Physical Therapist | 135 Hanbury Rd W Ste B, Chesapeake, VA 23322 | 2012-08-09 |
| 1316224983 | Matthew E Peters | Nurse Practitioner | 2885 N Mayfair Rd, Milwaukee, WI 53222-4404 | 2011-11-10 |
| Street Address |
820 ST. SEBASTIAN WAY SUITE 8A |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205824877 | Barton C Brezina | Internal Medicine | 820 St. Sebastian Way, Suite 8a, Augusta, GA 30901-0000 | 2005-10-07 |
| 1679716765 | University Endocrine & Internal Medicine Inc | Internal Medicine | 820 St. Sebastian Way, Suite 7a, Augusta, GA 30901 | 2009-04-20 |
| 1417171307 | Harold Douglas Hubert IIi | Internal Medicine | 820 St. Sebastian Way, Suite 8a, Augusta, GA 30901-2642 | 2007-04-12 |
| 1083752737 | Shukhrat Artikov | Internal Medicine | 820 St. Sebastian Way, Suite 8a, Augusta, GA 30901-0000 | 2007-02-02 |
| 1245339076 | Harry T Harper IIi | Specialist | 820 St. Sebastian Way, Suite 2a, Augusta, GA 30901 | 2006-09-21 |
| 1043319890 | Bimal R Shah | Specialist | 820 St. Sebastian Way, Suite 2a, Augusta, GA 30901 | 2006-09-21 |
| 1003925223 | Jack H. Austin, Jr., Md, PC | Internal Medicine | 820 St. Sebastian Way, Suite 4a, Augusta, GA 30901 | 2006-08-30 |
| 1447203252 | Mary W Chen | Internal Medicine | 820 St. Sebastian Way, Suite 4c, Augusta, GA 30901 | 2006-05-19 |
| 1891744322 | Nephrology Associates, PC | Physician Assistant | 820 St. Sebastian Way, Suite 8a, Augusta, GA 30901-0000 | 2006-05-10 |
| 1912984790 | Don E Williamson | Internal Medicine | 820 St. Sebastian Way, Suite 8a, Augusta, GA 30901 | 2005-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1003164153 | Rachel Mccall Dawkins | Physician Assistant | Doctors Hospital of Augusta, 3651 Wheeler Rd., Augusta, GA 30909 | 2012-08-21 |
| 1447589379 | Donald Earl Maner Sr. | Physician Assistant | Ec3326 Laney Walker Blvd, Medical College of Georgia, Augusta, GA 30912 | 2009-12-24 |
| 1740515063 | Ashley Janae Thomas | Physician Assistant | 811 13th St Ste 11, University Professional Building 3, Augusta, GA 30901-2771 | 2009-10-04 |
| 1649292905 | Susan Marie Klein | Physician Assistant | Vamc 1 Freedom Way, Augusta, GA 30901 | 2006-07-24 |
| 1053339663 | Joseph Stanley Soparas | Physician Assistant | 1 Freedom Way # 291, Augusta, GA 30904-6258 | 2006-07-18 |
| 1083687024 | Jarrod John Henry | Physician Assistant | 12 Shuman Ave, Augusta, ME 04330-6020 | 2006-02-09 |
| 1841278363 | Julie A. Zale | Physician Assistant | 219 Capitol St, Suite 2, Augusta, ME 04330-6235 | 2006-01-04 |
| 1487255493 | Rachel Muehlfeld | Physician Assistant | 1701 Magnolia Way Ste 101, Augusta, GA 30909-9484 | 2020-11-05 |
| 1881291367 | Gilbert Lee Lewis Jr. | Physician Assistant | 127 Telfair St, Augusta, GA 30901-2590 | 2020-10-07 |
| Find all providers in AUGUSTA | ||||
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| 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.