Alfred Boyce Peters, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9827 Issued in GA

Practice address

127 Telfair St
Augusta, GA 30901-2590

Phone

(706) 922-0600

Fax

(706) 922-0603

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: No
• Hospice: Yes

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.

• Christ Community Health Services Augusta, Inc.

  • Primary Care Clinic/Center
  • Augusta, GA
  • NPI 1174716989

  Dentist

  Medicare reassignment NPD
• Alfred B. Peters, D.M.D., P.C.

  • Dentist
  • Milledgeville, GA
  • NPI 1548432867
  NPD (past) Authorized official
• Christ Community Health Services Augusta, Inc

  • Dental Clinic/Center
  • Augusta, GA
  • NPI 1104630748
  NPD
• Christ Community Health Services Augusta, Inc

  • Federally Qualified Health Center (FQHC)
  • Augusta, GA
  • NPI 1043568264
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1336356013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2344",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309032344",
            "telephone_number": "706-922-0600",
            "fax_number": "706-922-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 TELFAIR ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309012590",
            "telephone_number": "706-922-0600",
            "fax_number": "706-922-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ALFRED",
        "middle_name": "BOYCE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "9827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000267539K",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000267539J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumera Pervaiz
• Eva Marie Pescevich
• Tionne Nicole Pete
• Daniel Mathew Peter
• Alexis Constance Peters, DPM
• Matthew A. Peters, PA-C
• Corey Rex Peterson, CRNA
• Eric Pehr Peterson, CRNA
• Sally Ann Peterson, MD
• Scott D Pethke, M.D.

• Dentist in Augusta, GA
• Providers in Augusta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.