Individual provider Active NPI

Zelda R Peters, FNP

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1598730814
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN124526 Issued in GA
Practice address
1205 Dawson Rd
Albany, GA 31707-3851
Phone
(229) 435-7764
NPI assigned
Feb 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness Coach 171400000X GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN124526 GA
Nurse Practitioner 363L00000X RN124526 GA
Family Nurse Practitioner 363LF0000X RN124526 GA Primary

Addresses

Primary practice location

1205 Dawson Rd
Albany, GA 31707-3851

Mailing address

1205 Dawson Rd
Albany, GA 31707-3851
Phone (229) 435-7764

Other practice location 1

1201 Dawson Rd
Albany, GA 31707-3851
Phone (229) 894-7877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN124526GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Health and Wellness LLC CurrentSince Oct 20, 2024 Accepting new patients
Complete Drug Screenings PastSince Mar 12, 2024 Accepting new patients

Locations

1201 Dawson Rd
Albany, GA 31707
Phone (229) 894-7877

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFCGDD/Endpoint/IFCGDD

Organizations & group practices 2

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": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1598730814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073851",
            "telephone_number": "229-435-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317073851",
            "telephone_number": "229-435-7764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Dawson Rd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "GA",
            "postal_code": "317073851",
            "country_code": "US",
            "telephone_number": "229-894-7877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ZELDA",
        "middle_name": "R",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-21",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN124526",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN124526",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN124526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.