Joy Mauney Peterson, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101147 Issued in NC

Practice address

516 Lausanne Dr
Greensboro, NC 27410-5243

Phone

(336) 299-7358

Fax

(336) 852-9151

NPI assigned

Jun 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Physician Assistant

State licenses

Practice roles

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment
• Triad Health Center

  • Chiropractor
  • Greensboro, NC
  • NPI 1982940581
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1639583552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 LAUSANNE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105243",
            "telephone_number": "336-299-7358",
            "fax_number": "336-852-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 LAUSANNE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274105243",
            "telephone_number": "336-299-7358",
            "fax_number": "336-852-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "JOY",
        "middle_name": "MAUNEY",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter F Blomgren MD PLLC
• Peter K. Dunn, O.D., P.a.
• Laura Johnson Peters, CRNA
• Patricia Peters, RN
• Nakia Oneaka Peterson Brown
• Stephanie Christen Pritchett Peterson, PA
• John Andrew Petery, DPM
• Angela Petracca, OD
• Brian D Petrarca, PA
• Taryn Elizabeth Petrillo

• Physician Assistant in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.