Corey Rex Peterson, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

RN168422 Issued in GA

Practice address

2260 Wrightsboro Rd
Augusta, GA 30904-4764

Phone

(706) 736-2273

Fax

(706) 736-7171

NPI assigned

Oct 27, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Anesthesia and Pain Medicine

  • Anesthesiology Physician
  • Augusta, GA
  • NPI 1265482582
  NPD (past)
• Anesthesia Resources of Augusta, LLC

  • Registered Nurse
  • Augusta, GA
  • NPI 1689689283
  NPD (past)
• Augusta Physician Services LLC

  • Internal Medicine Physician
  • Augusta, GA
  • NPI 1568547586
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508942343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4478 SPARKLEBERRY CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308094454",
            "telephone_number": "706-860-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309044764",
            "telephone_number": "706-736-2273",
            "fax_number": "706-736-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "COREY",
        "middle_name": "REX",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN168422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tionne Nicole Pete
• Daniel Mathew Peter
• Alexis Constance Peters, DPM
• Alfred Boyce Peters, DMD
• Matthew A. Peters, PA-C
• Eric Pehr Peterson, CRNA
• Sally Ann Peterson, MD
• Scott D Pethke, M.D.
• Camryn Burton Petit, BS
• James Petit, MD

• Certified Registered Nurse Anesthetist in Augusta, GA
• Providers in Augusta, GA by specialty
• Certified Registered Nurse Anesthetist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.