Edward Andrew Peterson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD-37052 Issued in TN

Practice address

7268 Jarnigan Rd
Suite 200
Chattanooga, TN 37421-3097

Phone

(423) 508-7337

Fax

(423) 508-7338

NPI assigned

Jun 10, 2005

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

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Ophthalmology

Education

University of Utah School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Eye Specialists PLLCGroup PAC ID 6800708504, 37 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

76.4 of 100Reported as group

Quality

76.44

Promoting interoperability

67

Improvement activities

40

Cost

72.4

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: epeterson@southeasteye.intellechartdirect.net

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.

• Southeast Eye Specialists PLLC

  • Ophthalmology Physician
  • Chattanooga, TN
  • NPI 1518961176
  Medicare reassignment Care Compare group NPD
• Southeast Eye Specialists PLLC

  • Ophthalmology Physician
  • Nashville, TN
  • NPI 1003437138
  NPD
• S.H.K.Reddy,MD,PSC.,

  • Ophthalmology Physician
  • Hazard, KY
  • NPI 1720264971
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676160000000",
    "number": "1679577324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 COOL SPRINGS BLVD.",
            "address_2": "STE. 400",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "423-508-7337",
            "fax_number": "423-508-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7268 JARNIGAN RD",
            "address_2": "SUITE 200",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213097",
            "telephone_number": "423-508-7337",
            "fax_number": "423-508-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "EDWARD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "052293",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "35448",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "MD-37052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanel Sandra Peters
• Wesley Daniel Peters, MD
• Anders Eugene Petersen, MD
• Amy Peterson, RPH
• Anita Peterson, CRNA
• Erika Dionne Peterson
• Geoffrey Deane Peterson, APN
• Mark William Peterson, MD
• Sarah Elizabeth Peterson, PT, DPT
• Steven Michael Peterson, M.D.

• Ophthalmology Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Ophthalmology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; 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.