Individual provider Active NPI

Summer L Peterson, BCBA

  • Behavior Analyst
  • Columbus, GA
National Provider Identifier
1487231601
Registry record updated Oct 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1394 Issued in TN
Practice address
1110 13TH St Ste D
Columbus, GA 31901-2246
Phone
(706) 780-1704
NPI assigned
Mar 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1394 TN Primary

Addresses

Primary practice location

1110 13TH St Ste D
Columbus, GA 31901-2246

Mailing address

1110 13TH St Ste D
Columbus, GA 31901-2246
Phone (423) 241-7251

Other practice location 1

6361 Talokas Ln.
Ste. C140-158
Columbus, GA 31909-2988
Phone (855) 832-6727

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1394TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Zoe Center for ABA and Development Services, LLC Behavior Analyst CurrentSince Nov 3, 2024 Accepting new patients

Locations

229 Highway 41 N
Ste B
Barnesville, GA 30204

3021 Williams Rd
Bldg A
Columbus, GA 31909

1110 13th St
Ste D
Columbus, GA 31901
Phone (706) 641-2462

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760227200000",
    "number": "1487231601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 13TH ST STE D",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012246",
            "telephone_number": "423-241-7251",
            "fax_number": "423-320-3913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 13TH ST STE D",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012246",
            "telephone_number": "706-780-1704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6361 Talokas Ln.",
            "address_2": "Ste. C140-158",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319092988",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SUMMER",
        "middle_name": "L",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-10-12",
        "certification_date": "2025-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TN",
            "license": "1394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2025; 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.