ALEX WHITMAN PETERSON (NPI# 1184123812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184123812 |
| Entity Type | Individual |
| Full Name | ALEX WHITMAN PETERSON |
| Credential | PHMNP |
| Practice Address |
1010 Huntcliff Ste 1350 Atlanta GA 30350-1809 |
| Practice Telephone | 4047361410 |
| Mailing Telephone | 4047361410 |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN202524 | GA | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN202524 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1526 E Forrest Ave, East Point, GA 303446986 | 6155542089 | |
| 1100 Peachtree St Ne Ste 200, Atlanta, GA 303094503 | 6155542089 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528553054 | Alex Eldon Peterson | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd, Brooksville, FL 34613-5409 | 2018-06-27 |
| 1639684814 | Alex Peterson | Social Worker | 33 N 300 E, Cedar City, UT 84720-2620 | 2017-12-09 |
| 1427323146 | Alex Michael Peterson | Pharmacist | 6720 Ne 84th St, Vancouver, WA 98665-2016 | 2012-03-13 |
| Street Address |
1010 HUNTCLIFF STE 1350 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30350-1809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970697 | Conor John O'brien | Behavior Technician | 1218 Hightower Trail, B120, Atlanta, GA 30350 | 2020-10-21 |
| 1346853975 | Jessica Bernstein | Behavioral Analyst | 500 Vinington Court, Atlanta, GA 30350 | 2020-08-24 |
| 1619489390 | Breast Cancer Breast Care Products, LLC Dba Pink Ribbon Consulting | Durable Medical Equipment & Medical Supplies | 55 Saddleview Run, Atlanta, GA 30350 | 2017-11-02 |
| 1679090724 | Deliluz Roubert Echevarria | Speech-Language Pathologist | 8404 Roswell Rd Apt Q, Atlanta, GA 30350 | 2017-08-29 |
| 1164962882 | Ipsum Diagnostics LLC | Clinical Medical Laboratory | 8607 Roberts Dr Ste 125, Atlanta, GA 30350 | 2017-02-28 |
| 1700335627 | Juma Gassim | Specialist/Technologist, Other | 7949 Roswell Rd., Apt. F, Atlanta, GA 30350 | 2016-10-04 |
| 1902297153 | Hope Stoney | Chiropractor | 701 Harbor Pointe Parkway, Sandy Springs, GA 30350 | 2015-02-10 |
| 1942698386 | Laurie Johnson | Counselor | 1605 Lazy River Lane, Atlanta, GA 30350 | 2015-01-08 |
| 1497175905 | Ispm Labs, LLC | Clinical Medical Laboratory | 8601 Dunwoody Pl Ste 444, Atlanta, GA 30350 | 2014-04-23 |
| 1295097236 | Ginger Liane Hill | Behavioral Analyst | 1215 Hightower Trail, Bldg. B #120, Atlanta, GA 30350 | 2012-06-14 |
| Find all providers in zip 30350 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989549 | Bosede Omolara Babalola-adejokun | Nurse Practitioner | 160 Magnolia Walk Ln, Atlanta, GA 30349-4067 | 2020-07-16 |
| 1891313276 | Health Medix Center Inc | Nurse Practitioner | 5401 Boreal Way Sw, Atlanta, GA 30331-9215 | 2020-07-11 |
| 1831736826 | Carol Lorraine Borchers | Nurse Practitioner | 3648 Peachtree Rd Ne Apt 1j, Atlanta, GA 30319-1271 | 2019-12-09 |
| 1033606165 | Jane Wanjiru Waweru | Nurse Practitioner | 635 Windy Ridge Ln Se, Atlanta, GA 30339-2438 | 2018-04-14 |
| 1780198820 | Joanne Patrice Parks | Nurse Practitioner | 3110 Henderson Walk, Atlanta, GA 30340-4329 | 2017-11-28 |
| 1013467570 | Jill Morich Webb | Nurse Practitioner | 2150 Peachford Rd Ste Q, Atlanta, GA 30338-6539 | 2016-10-09 |
| 1518413897 | Terre Cheely | Nurse Practitioner | 2 Ravinia Drive Suite 500, Atlanta, GA 30346 | 2016-08-28 |
| 1407211964 | Donna D. Wilson | Nurse Practitioner | 35 Collier Rd Nw Ste 425, Atlanta, GA 30309-1613 | 2015-12-28 |
| 1265785596 | Shikira Mone' Woods | Nurse Practitioner | 101 Marietta St Nw Ste 350, Atlanta, GA 30303-2724 | 2012-10-24 |
| 1104846385 | Elizabeth L Robinson | Nurse Practitioner | 289 Little St Se, Atlanta, GA 30315-1364 | 2006-07-20 |
| Find all providers in ATLANTA | ||||
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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.