Active NPI
Christopher Morrison Peterson, MD
- MOHS-Micrographic Surgery Physician
- Greenville, SC
National Provider Identifier
1609891472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- 29473
- Practice address
- 7A Cleveland CT
Greenville, SC 29607-2414 - Phone
- (864) 351-0345
- Fax
- (864) 351-0360
- NPI assigned
- Jul 13, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G046901 | GA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 29473 | SC | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 46901 | GA |
Addresses
Primary practice location
7A Cleveland CT
Greenville, SC 29607-2414
Mailing address
7A Cleveland CT
Greenville, SC 29607-2414
Phone (864) 351-0345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G46901 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Medical College of Georgia School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7 A Cleveland CT
Greenville, SC 29607-2414
Phone (864) 351-0345
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.94 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 89.79
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 330 |
| Removal of skin lesions | 2062 |
| Removal of skin cancer | 874 |
| Skin biopsy | 1224 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G046901 | GA | MD | Dermatology Physician |
| 46901 | GA | MD | MOHS-Micrographic Surgery Physician |
| 29473 | SC | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chris M. Peterson, MD, PA | Current | Accepting new patients | |
| Rogers Dermatology, PA | Past | Accepting new patients |
Locations
7A Cleveland Ct
Greenville, SC 29607
Phone (864) 351-0345
7B Cleveland Ct
Greenville, SC 29607
Phone (864) 351-0345
Interoperability endpoints
- christopher.peterson.1@17577.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Greenville, SC
- NPI 1912348699
-
- Procedural Dermatology Physician
- Greenville, SC
- NPI 1912950775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1609891472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7A CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-351-0345",
"fax_number": "864-351-0360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7A CLEVELAND CT",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296072414",
"telephone_number": "864-351-0345",
"fax_number": "864-351-0360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "CHRISTOPHER",
"middle_name": "MORRISON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "G046901",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "SC",
"license": "29473",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "GA",
"license": "46901",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G46901",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.