Active NPI
Pamela L Peterman, NP
- Family Nurse Practitioner
- Cartersville, GA
National Provider Identifier
1316928872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN093618 NP
- Practice address
- 572 W Main St
Cartersville, GA 30120-3469 - Phone
- (770) 386-4161
- Fax
- (770) 386-9364
- NPI assigned
- Nov 10, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN093618 NP | GA | Primary |
Addresses
Primary practice location
572 W Main St
Cartersville, GA 30120-3469
Mailing address
PO Box 2407
Cartersville, GA 30120-1691
Phone (770) 386-4161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN093618 NP | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald C. Evans, M.D., P.C. | Past | Accepting new patients | |
| Ravens Nest Foundation Inc | Past | Accepting new patients | |
| James a. Sexson, M.D. LLC | Past | Accepting new patients |
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.
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200614400000",
"number": "1316928872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2407",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301201691",
"telephone_number": "770-386-4161",
"fax_number": "770-386-9364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "572 W MAIN ST",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301203469",
"telephone_number": "770-386-4161",
"fax_number": "770-386-9364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERMAN",
"first_name": "PAMELA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-10",
"last_updated": "2008-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN093618 NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.