Individual provider Active NPI

Christopher Morrison Peterson, MD

  • MOHS-Micrographic Surgery Physician
  • Greenville, SC
National Provider Identifier
1609891472
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
29473 Issued in SC
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G46901MedicaidSC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061208000120 SC Practitioner - Dermatology 3870592454 Reassigns benefits to 1 organization

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
Chris M Peterson MD PAGroup PAC ID 3476780149, 2 clinicians

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 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
89.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision330
Removal of skin lesions2062
Removal of skin cancer874
Skin biopsy1224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G046901GAMDDermatology Physician
46901GAMDMOHS-Micrographic Surgery Physician
29473SCMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chris M. Peterson, MD, PA CurrentSince Jan 1, 2014 Accepting new patients
Rogers Dermatology, PA PastSince Aug 5, 1995 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.