Alex Whitman Peterson, PHMNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN202524 Issued in GA

Practice address

1010 Huntcliff Ste 1350
Atlanta, GA 30350-1809

Phone

(404) 736-1410

NPI assigned

Feb 8, 2018

Last updated

Jan 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: apeterson@direct.meditouchehr.com
• Direct secure messaging: balancebehavioralhealth.alexpeterson@143913.advancedmd-direct.com

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.

• Balance Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1518628023
  NPD Authorized official

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

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1184123812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 HUNTCLIFF STE 1350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501809",
            "telephone_number": "404-736-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HUNTCLIFF STE 1350",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501809",
            "telephone_number": "404-736-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1526 E Forrest Ave",
            "address_purpose": "LOCATION",
            "city": "East Point",
            "state": "GA",
            "postal_code": "303446986",
            "country_code": "US",
            "telephone_number": "615-554-2089",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Peachtree St NE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303094503",
            "country_code": "US",
            "telephone_number": "615-554-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ALEX",
        "middle_name": "WHITMAN",
        "credential": "PHMNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-08",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN202524",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN202524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William David Peters, DNP, CRNA
• Emily Petersen, M.D.
• Lauren Hana Petersen
• Susan Peterson-Hazan, CSW
• Alan Clark Peterson Sr., D.M.D.
• Anetha Deborah Peterson, FNP
• Berry Lawrence Peterson, CPNP
• Carol Lynn Peterson, PT
• Christopher Allan Peterson, DC
• Elizabeth Peterson

• Psychiatric/Mental Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.