George Malakye Peterson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126545 Issued in TX

Practice address

1215 S Coulter St Ste 202
Amarillo, TX 79106-1767

Phone

(806) 677-2039

Fax

(806) 356-0045

NPI assigned

Oct 10, 2014

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Amarillo Ufirst Urgent Care Clinic Inc.

  • Urgent Care Clinic/Center
  • Amarillo, TX
  • NPI 1437574639
  Medicare reassignment NPD
• Ufirst Healthcare LLC

  • Case Manager/Care Coordinator
  • Amarillo, TX
  • NPI 1649650011
  Medicare reassignment NPD
• Cross Medical Clinic PLLC

  • Family Nurse Practitioner
  • Canyon, TX
  • NPI 1366879314
  NPD
• Family Medicine Centers Lab L P

  • Clinical Medical Laboratory
  • Amarillo, TX
  • NPI 1972515765
  NPD (past)
• FMC Clinics, P.a.

  dba dba Living Well Express Care

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1578756771
  NPD (past)

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

{
    "created_epoch": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1295139855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 202",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061767",
            "telephone_number": "806-677-2039",
            "fax_number": "806-356-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 S COULTER ST STE 202",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061767",
            "telephone_number": "806-677-2039",
            "fax_number": "806-356-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "GEORGE",
        "middle_name": "MALAKYE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-10",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nick Peters, M.D., FACEP
• Shawn Peters, R.R.T.
• William G. Petersen, M.D.
• Angela Peterson, LPC
• Darren L Peterson, M.D.
• Lacy Grace Petty, SLP
• Lan Pham
• Mary Elizabeth Hoang Pham, M.D.
• Tiny Phan
• Pharmacists' Home Medical Inc (Remedies Home Oxygen & Medical Equipment)

• Family Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.