Paul Peteet, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

030183 Issued in OR

Practice address

55 Carlton St
Athens, GA 30602-1526

Phone

(706) 542-8621

Fax

(706) 583-0217

NPI assigned

Feb 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1023296928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021526",
            "telephone_number": "706-542-8621",
            "fax_number": "706-583-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CARLTON ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306021526",
            "telephone_number": "706-542-8621",
            "fax_number": "706-583-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETEET",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-04",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "030183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00650482A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everett Leland Perry, M.D.
• Gregory Doyle Perry, M.D.
• Heather E Perry, NP
• Donovan Vinni Persad, MD
• Erik Burness Person, MS, MD
• Blossom Peter
• Jaclyn Peters, PH.D.
• Merisa Peters, ROT, CMA, TS-C
• Margaret Helen Peterson, PT, DPT, ATC
• Eleni Petrou

• Internal Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.