Individual provider Active NPI

Katherine Anne Peters, NP

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1285156620
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN208946 Issued in GA
Practice address
95 Collier Rd NW Ste 2045
Atlanta, GA 30309-1723
Phone
(404) 605-5699
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN208946 GA Primary

Addresses

Primary practice location

95 Collier Rd NW Ste 2045
Atlanta, GA 30309-1723

Mailing address

61 Whitcher St NE Ste 2100
Marietta, GA 30060-1179
Phone (770) 423-0595

Other practice location 1

980 Johnson Ferry Rd Ste 1040
Atlanta, GA 30342-1609
Phone (770) 292-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171113001544 GA Practitioner - Nurse Practitioner 1759647498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians
Northside Surgical Professional Services LLCGroup PAC ID 8628253424, 367 clinicians

Practice addresses (Care Compare)

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (404) 605-5000

980 Johnson Ferry Rd
Suite 1040
Atlanta, GA 30342-1609
Phone (770) 292-3490

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Surgical Professional Services LLC CurrentSince Mar 29, 2018 Accepting new patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Jun 1, 2023 Accepting new patients
Quantum Radiology, PC Past Accepting new patients

Locations

95 Collier Rd NW
Ste 2045
Atlanta, GA 30309
Phone (404) 605-5110

1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

1505 Northside Blvd
Ste 2400
Cumming, GA 30041
Phone (770) 292-3490

980 Johnson Fy Rd NE
Ste 1040
Sandy Springs, GA 30342
Phone (404) 843-2721

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

Organizations & group practices 3

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 3

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": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1285156620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 WHITCHER ST NE STE 2100",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601179",
            "telephone_number": "770-423-0595",
            "fax_number": "678-391-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW STE 2045",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091723",
            "telephone_number": "404-605-5699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 Johnson Ferry Rd Ste 1040",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421609",
            "country_code": "US",
            "telephone_number": "770-292-3490",
            "fax_number": "404-300-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN208946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.