Chanya M Peters, APRN-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN237921 Issued in GA

Practice address

488 Kennesaw Ave NW
Suite 200
Marietta, GA 30060-9409

Phone

(770) 427-3075

Fax

(770) 427-3261

NPI assigned

Feb 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Counseling Center at Duluth LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Duluth, GA
  • NPI 1770234650
  Medicare reassignment NPD
• Counseling Center at Roswell LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roswell, GA
  • NPI 1538810338
  Medicare reassignment NPD
• Sunrise Detox Duluth, LLC

  • Substance Abuse Rehabilitation Facility
  • Duluth, GA
  • NPI 1649914813
  Medicare reassignment NPD
• The Counseling Center at Duluth Ga, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Duluth, GA
  • NPI 1063353092
  NPD (past)
• The Counseling Center at Roswell Ga, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Roswell, GA
  • NPI 1255272282
  NPD (past)
• Gastroenterology Center of the Midsouth PLLC

  dba Associates In Gastroenterology

  • Gastroenterology Physician
  • Germantown, TN
  • NPI 1417932492

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1629246038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 PEACHTREE ST NE",
            "address_2": "SUITE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082208",
            "telephone_number": "404-881-1094",
            "fax_number": "404-874-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 KENNESAW AVE NW",
            "address_2": "SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300609409",
            "telephone_number": "770-427-3075",
            "fax_number": "770-427-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHANYA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "TN",
            "license": "137603",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "11839",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "APN0000011839",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN237921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Persaud, RBT
• Personal Injury MD LLC
• Personal Recovery Network LLC (The Anxiety & Stress Management Institute)
• Personal Recovery Network LLC (Georgia Behavioral Health Professionals)
• Peterman and Associates, LLC (Peterman & Associates ICWS)
• Erica Peters, COTA
• Haley Peters
• Jason Scott Peters, LPC
• Pamela Marie Petersen, RN
• Emilie Peterson, RBT

• Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.