Tara Joy Peters, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1763 Fernside Dr
Toccoa, GA 30577-8095

Phone

(706) 886-6521

NPI assigned

Jul 26, 2017

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1386168805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1513",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305250038",
            "telephone_number": "631-487-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1763 FERNSIDE DR",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305778095",
            "telephone_number": "706-886-6521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Dolores Pl",
            "address_purpose": "LOCATION",
            "city": "Central Islip",
            "state": "NY",
            "postal_code": "117222204",
            "country_code": "US",
            "telephone_number": "631-234-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Fulton Ave",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "NY",
            "postal_code": "115503917",
            "country_code": "US",
            "telephone_number": "516-485-5710",
            "fax_number": "516-280-9051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "TARA",
        "middle_name": "JOY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-26",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Peavy, PT, DPT
• William Joseph Pendergrast, PHARM.D.
• Personal Assistance
• Personal Assistance of Toccoa, LLC
• Persida L Petca, NP-C
• Elizabeth Williams Pinkerton, M.D.
• Pittard Clinic LLC
• Cynthia League Poole, PHYSICAL THERAPIST
• Richard Clayton Power, PT, DPT
• Adrian Nicholas Prather, P.T.

• Social Worker in Toccoa, GA
• Providers in Toccoa, GA by specialty
• Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.