Individual provider Active NPI

William David Peters, DNP, CRNA

  • Certified Registered Nurse Anesthetist
  • Atlanta, GA
National Provider Identifier
1689341182
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN250386 Issued in GA
Practice address
1364 Clifton Rd NE
Atlanta, GA 30322-0004
Phone
(404) 778-3900
NPI assigned
Aug 24, 2021
Last updated
Jan 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN250386 GA Primary

Addresses

Primary practice location

1364 Clifton Rd NE
Atlanta, GA 30322-0004

Mailing address

1331 Cameron Glen Dr
Marietta, GA 30062-3046
Phone (917) 821-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220921001267 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7113324328 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Gynecology PCGroup PAC ID 0143568634, 11 clinicians

Practice addresses (Care Compare)

1357 Oconee Connector
Watkinsville, GA 30677-7311
Phone (678) 344-8900

1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900

Merit-based Incentive Payment System (MIPS)

Final score
70.85 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40
Cost
55.62

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
69.85
Promoting interoperability
100
Improvement activities
40
Cost
75.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN250386GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC CurrentSince Sep 1, 2022 Accepting new patients
Advanced Urology Institute of Georgia, LLC Current Accepting new patients
Advanced Gynecology PC Current Accepting new patients
Advanced Urology Anesthesia, LLC CurrentSince Sep 1, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince Mar 6, 2024 Accepting new patients
Emory Specialty Associates, LLC CurrentSince Mar 6, 2024 Accepting new patients
Advanced Urology Institute of Georgia PC CurrentSince Sep 1, 2022 Accepting new patients
Advanced Urology Institute of Georgia, LLC CurrentSince Sep 1, 2022 Accepting new patients
Surgery Center of Lawrenceville Past Accepting new patients
Advanced Gynecology PC PastSince Sep 1, 2022 Accepting new patients

Locations

1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

2711 Irvin Way
Decatur, GA 30030
Phone (404) 869-2596

2711 Irvin Way
Ste 101
Decatur, GA 30030

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

501 Crownpointe Way
Ste 100
Lawrenceville, GA 30046
Phone 6783448900101

1371 Church Street Ext NE
#100
Marietta, GA 30060

11660 Alpharetta Hwy
Ste 710
Roswell, GA 30076
Phone (404) 495-5394

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156

1450 S Johnson Ferry Rd
Ste 100
Sandy Springs, GA 30319
Phone 6783448900156

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

1357 Oconee Connector
Ste 102
Watkinsville, GA 30677
Phone 6783448900156

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1689341182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 CAMERON GLEN DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623046",
            "telephone_number": "917-821-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303220004",
            "telephone_number": "404-778-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "WILLIAM",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-24",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN250386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.