Individual provider Active NPI

John Stewart Peters, D.O.

  • Dermatology Physician
  • Crestview, FL
National Provider Identifier
1013004860
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
DO.3331 Issued in AL
Practice address
2798 Dogwood Acres
Crestview, FL 32536-9368
Phone
(406) 299-0871
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Procedural Dermatology Physician 207NS0135X DO.3331 AL
Dermatology Physician 207N00000X 45315 GA
Dermatology Physician 207N00000X DO.3331 AL Primary
Procedural Dermatology Physician 207NS0135X 45315 GA

Addresses

Primary practice location

2798 Dogwood Acres
Crestview, FL 32536-9368

Mailing address

2798 Dogwood Acres
Crestview, FL 32536-9368
Phone (406) 299-0871

Other practice location 1

8573 County Road 64
Daphne, AL 36526-8706
Phone (251) 621-2244

Other practice location 2

580 Providence Park Dr E
Mobile, AL 36695-4614
Phone (251) 631-3570

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address John.Peters@forefrontdermatology.emadirect.md Health Information Exchange (HIE)
Direct Messaging Address John.Peters@forefrontdermatology.emadirect.md Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171026002288 GA Practitioner - Dermatology 3476829086 Reassigns benefits to 1 organization
I20240718003698 AL Practitioner - Dermatology 3476829086 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia School of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Alabama, Inc.Group PAC ID 2466866355, 9 clinicians
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

286 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone (334) 396-1555

580 Providence Park Dr E
Mobile, AL 36695-4614
Phone (251) 631-3570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions542
Removal or shaving of skin growth1-10
Skin biopsy154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3331ALMDProfessional Counselor
DO.3331ALMDDermatology Physician
45315GAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jan 16, 2026 Accepting new patients
Advanced Dermatology of Alabama, Inc. Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Georgia Dermatology & Skin Cancer Center, LLC Dermatology CurrentSince Aug 6, 2017 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince Jan 16, 2026 Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Georgia Dermatology &Skin Cancer Center, PC Dermatology Past Accepting new patients

Locations

8573 County Road 64
Daphne, AL 36526
Phone (251) 621-2244

580 Providence Park Dr E
Mobile, AL 36695
Phone (251) 631-3570

286 Mitylene Park Dr
Montgomery, AL 36117
Phone (334) 396-1555

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

2400 Bellevue Rd
Ste 21A
Dublin, GA 31021
Phone (478) 275-7202

1157 Forsyth St
Macon, GA 31201
Phone (478) 745-8581

Interoperability endpoints

  • Direct secure messaging: john.peters@forefrontdermatology.emadirect.md

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1013004860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2798 DOGWOOD ACRES",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369368",
            "telephone_number": "406-299-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2798 DOGWOOD ACRES",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369368",
            "telephone_number": "406-299-0871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8573 COUNTY ROAD 64",
            "address_purpose": "LOCATION",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365268706",
            "country_code": "US",
            "telephone_number": "251-621-2244",
            "fax_number": "251-621-7209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 PROVIDENCE PARK DR E",
            "address_purpose": "LOCATION",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954614",
            "country_code": "US",
            "telephone_number": "251-631-3570",
            "fax_number": "251-631-3572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JOHN",
        "middle_name": "STEWART",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AL",
            "license": "DO.3331",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "45315",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AL",
            "license": "DO.3331",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "GA",
            "license": "45315",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Peters@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8573 COUNTY ROAD 64",
            "city": "DAPHNE",
            "state": "AL",
            "country_code": "US",
            "postal_code": "365268706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "John.Peters@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "580 PROVIDENCE PARK DR E",
            "city": "MOBILE",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366954614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.