Steven J Petersen Jr., MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

35746 Issued in TN

Practice address

874 Preservation Cir
Pawleys Island, SC 29585-8340

Phone

(920) 217-9708

Fax

(920) 217-9708

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC, NC, TN3 enrollments

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 3

Specialty

Anesthesiology

Education

University of Tennessee, HSC, College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlantic Coast Anesthesia Services PCGroup PAC ID 3971887167, 71 clinicians

Nashville Anesthesia PLLCGroup PAC ID 1557350501, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grand Strand Regional Medical Center Hospital, Myrtle Beach, SC, CCN 420085
• Tristar Stonecrest Medical Center Hospital, Smyrna, TN, CCN 440227
• Tristar Southern Hills Medical Center Hospital, Nashville, TN, CCN 440197

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Atlantic Coast Anesthesia Services P.C.

  • Anesthesiology Physician
  • Myrtle Beach, SC
  • NPI 1932641313
  Medicare reassignment Care Compare group NPD
• Nashville Anesthesia PLLC

  dba Nashville Anesthesia Services

  • Anesthesiology Physician
  • Nashville, TN
  • NPI 1225081805
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of Rock Hill, P.a.

  • Anesthesiology Physician
  • Rock Hill, SC
  • NPI 1811977200
  Medicare reassignment NPD
• Tidelands Anesthesia Group LLC

  • Anesthesiology Physician
  • Georgetown, SC
  • NPI 1144017781
  Medicare reassignment NPD
• CHS Anesthesia Services Group Inc

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1346649415
  Medicare reassignment NPD
• Medstream Anesthesia PLLC

  • Anesthesiology Physician
  • Richardson, TX
  • NPI 1649616160

  SC

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Grand Strand Regional Medical Center LLC

  dba Grand Strand Medical Center

  • General Acute Care Hospital
  • Myrlte Beach, SC
  • NPI 1083668669
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  dba Tristar Southern Hills Medical Center

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1720032345
  Care Compare affiliation
• HCA Health Services of Tennessee, Inc.

  dba TriStar StoneCrest Medical Center

  • General Acute Care Hospital
  • Smyrna, TN
  • NPI 1992776405
  Care Compare affiliation

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1619997798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 PRESERVATION CIR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858340",
            "telephone_number": "920-217-9708",
            "fax_number": "920-217-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 PRESERVATION CIR",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295858340",
            "telephone_number": "920-217-9708",
            "fax_number": "920-217-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSEN",
        "first_name": "STEVEN",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "SC",
            "license": "40029",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "35746",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "45500",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34360900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pawleys Island Pediatric Dentistry
• Pawleys Island Pharm at Litchfield
• Pawleys Island Pharmacy LLC (Pawleys Island Pharmacy)
• Pawleys Island Pharmacy of Litchfield LLC (Pawleys Island Pharmacy of Litchfield)
• Pawleys Service Partners LLC (Home Care Assistance of the Grand Strand)
• Richard Andrew Philipp II, MD
• Robyn H Polk, P.T.
• Karen Owens Pope, LMT
• Karen Lee Porterfield, MA
• Premier Smile and Implant Center

• Anesthesiology Physician in Pawley's Island, SC
• Providers in Pawley's Island, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.

Verify at the official NPI Registry.