GENA SUSAN PETERSON (NPI# 1508322926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508322926 |
| Entity Type | Individual |
| Full Name | GENA SUSAN PETERSON |
| Credential | FNP-C |
| Practice Address |
100 Florence Ave Donalsonville GA 39845-1135 |
| Mailing Address |
358 Grimsley Rd Colquitt GA 39837-7436 |
| Practice Telephone | 2295245217 |
| Practice Fax Number | 2295246038 |
| Mailing Telephone | 2294001976 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN123548 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
RN126548 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 FLORENCE AVE |
| City | DONALSONVILLE |
| State | GA |
| Zip Code | 39845-1135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
| 1225670995 | Allcare Pharmacy, LLC | Pharmacy | 1004 S Tennille Ave, Donalsonville, GA 39845 | 2019-10-14 |
| 1528377595 | Billy C. Williams | Pharmacist | 409 West 3rd St, Donalsonville, GA 39845 | 2010-09-24 |
| 1881867000 | Southwest Georgia Healthcare Clinics Inc | Pediatrics | 205 Bresee Street, Donalsonville, GA 39845 | 2008-04-09 |
| 1790851335 | Sherry R Hawkins | Dentist | 1005 South Tennille Ave, Donalsonville, GA 39845 | 2006-11-27 |
| 1124104096 | Jamaca Rashad Coachman | Physical Therapist | 2955 Paleface Drive, Donalsonville, GA 39845 | 2006-10-31 |
| 1225133093 | Tri-state Home Medical | Durable Medical Equipment & Medical Supplies | 801 N Wiley Ave, Donalsonville, GA 39845 | 2006-09-14 |
| 1154424596 | Richard Mark Wolff | Pediatrics | 205 Bresee St, Donalsonville, GA 39845 | 2006-09-07 |
| 1578527123 | Vincent Kelley | Nurse Anesthetist, Certified Registered | 102 Hospital Circle, Donalsonville, GA 39845 | 2006-04-12 |
| 1245299387 | Murdoc Michael Henderson | Obstetrics & Gynecology | 900 N Wiley Ave, Donalsonville, GA 39845 | 2006-03-18 |
| Find all providers in zip 39845 | ||||
| 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 |
|---|---|---|---|---|
| 1336740398 | Audline Maria Hodnett | Nurse Practitioner | 4805 W Village Way Se Apt 2208, Smyrna, GA 30080-9227 | 2020-11-05 |
| 1073111845 | George Mackel, Pmhnp-bc, LLC | Nurse Practitioner | 12034 Big Canoe, 400 Shetland Trace, Jasper, GA 30143 | 2020-10-14 |
| 1356958060 | Earl Delk | Nurse Practitioner | 3365 Ridgerock Way, Snellville, GA 30078-4176 | 2020-09-26 |
| 1609482991 | Tammy Haskins Bailey | Nurse Practitioner | 196 Laying Farm Rd Se, Milledgeville, GA 31061-9714 | 2020-09-22 |
| 1861007403 | Caring Clinic LLC | Nurse Practitioner | 114 Wrights Dr, Milledgeville, GA 31061 | 2020-09-10 |
| 1376156364 | Katrina Ransom Clark | Nurse Practitioner | 120 Walker Dr Nw, Milledgeville, GA 31061-9561 | 2020-08-28 |
| 1457963746 | Evelyn Ahiante Dennis | Nurse Practitioner | 3325 Emden Ct, Snellville, GA 30039-6047 | 2020-08-19 |
| 1194335620 | Jennifer Logan | Nurse Practitioner | 424 Scotts Way, Augusta, GA 30909-3135 | 2020-08-10 |
| 1750991592 | Jamie Rae Mccracken | Nurse Practitioner | 2538 Gordon Cir Se, Smyrna, GA 30080-8123 | 2020-08-06 |
| 1285244608 | Amcare Substance Abuse and Addiction Counseling | Nurse Practitioner | 3615 Hutchinson Rd Ste 203, Cumming, GA 30040-0501 | 2020-08-01 |
| Find all providers with the same taxonomy | ||||
| City | DONALSONVILLE |
| Zip Code | 39845 |
Please comment or provide details below to improve the information on GENA SUSAN PETERSON.
| 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.