Karla M Peterson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001984 Issued in GA

Practice address

3790 Old US Hwy 41 N , Ste a
Valdosta, GA 31602-6865

Phone

(229) 262-1000

Fax

(229) 262-1085

NPI assigned

Oct 15, 2020

Sex

Female

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serenity Therapy LLC

  • Marriage & Family Therapist
  • Valdosta, GA
  • NPI 1780432575
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1063010528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 SUMNER RD",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317680117",
            "telephone_number": "229-310-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 OLD US HWY 41 N , STE A",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026865",
            "telephone_number": "229-262-1000",
            "fax_number": "229-262-1085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3569 Sumner Rd",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317680117",
            "country_code": "US",
            "telephone_number": "229-310-5065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KARLA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G47619A509",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Perry
• Sunil Terry Persaud, MD
• Joseph Persichetti
• Scott H Petermann, MD
• Jesica Peterson, BCBA, LBA
• Sadie P Peterson, NP-C
• Stephani Jo Peterson
• Emily Gray Pettit, PHARM.D.
• Pharmacy Alternatives, LLC
• Michelle Phelps

• Marriage & Family Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.