Scott H Petermann, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

42106 Issued in GA

Practice address

4380 Kings Way
Valdosta, GA 31602-6921

Phone

(229) 391-4180

Fax

(229) 391-4392

NPI assigned

Jun 17, 2005

Last updated

Sep 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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

Specialty

Ophthalmology

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Georgia Eye Partners PCGroup PAC ID 3375671589, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SGMC Health Hospital, Valdosta, GA, CCN 110122

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spetermann@esp.intellechartdirect.net

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

• South Georgia Eye Partners PC

  • Ophthalmology Physician
  • Valdosta, GA
  • NPI 1922321728

  FL

  Medicare reassignment Care Compare group Authorized official
• South Georgia Eye Partners

  • Ophthalmology Physician
  • Tifton, GA
  • NPI 1093077984
  Authorized official Same address or phone
• South Georgia Eye Partners PC

  • Ophthalmology Physician
  • Tifton, GA
  • NPI 1477874253
  Authorized official Same address or phone
• South Georgia Eye Partners PC

  • Ophthalmology Physician
  • Douglas, GA
  • NPI 1669745345
  Authorized official Same address or phone
• Affinity Health Group LLC

  • Specialist
  • Tifton, GA
  • NPI 1952372005
  NPD
• Cataract and Laser Surgery Center of South Georgia, P.C.

  • Ambulatory Surgical Clinic/Center
  • Valdosta, GA
  • NPI 1134670557
  NPD
• Gainesville Eye Associates LLC

  • Ophthalmology Physician
  • Gainesville, GA
  • NPI 1285617647
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Southern Eye Center, PC

  • Specialist
  • Valdosta, GA
  • NPI 1316020043
  NPD (past)

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

• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1043215759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4380 KINGS WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026921",
            "telephone_number": "229-244-2068",
            "fax_number": "229-391-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4380 KINGS WAY",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026921",
            "telephone_number": "229-391-4180",
            "fax_number": "229-391-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMANN",
        "first_name": "SCOTT",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "42106",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "42106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008244425C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George P Pennington, M.D.,PH.D.
• Mary Deason Perritt, FNP
• Briana Perry
• Sunil Terry Persaud, MD
• Joseph Persichetti
• Jesica Peterson, BCBA, LBA
• Karla M Peterson
• Sadie P Peterson, NP-C
• Stephani Jo Peterson
• Emily Gray Pettit, PHARM.D.

• Ophthalmology Physician in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.