Gerald Peterman, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN122988 Issued in GA

Practice address

2054 Watson Blvd
Warner Robins, GA 31093-3634

Phone

(478) 633-2097

Fax

(478) 633-7836

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Houston Medical Associates, LLC

  • Internal Medicine Physician
  • Warner Robins, GA
  • NPI 1013179670
  NPD
• Oduwole Organization Inc

  • Interventional Cardiology Physician
  • Fayetteville, GA
  • NPI 1659560647
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1649289653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 HERITAGE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310936621",
            "telephone_number": "478-922-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2054 WATSON BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933634",
            "telephone_number": "478-633-2097",
            "fax_number": "478-633-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERMAN",
        "first_name": "GERALD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN122988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498794628B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew David Perlman, AGACNP-BC
• Perry Chiropractic of Warner Robins, LLC
• Perry Internal Medicine, LLC
• Timequa Cheri Person
• Marisa Personius, LMFT
• Rachel Lee Peterson Moss, NP-C
• Patrice Peterson, MT
• Jodi Lynne Pettygrove, FNP
• John Jeremy Pettygrove, DC
• Marc A Phagan, CRNA

• Nurse Practitioner in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.