Individual provider Active NPI

Christy Renee Peterson, MD

  • Pediatrics Physician
  • Macon, GA
National Provider Identifier
1700047487
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
003043 Issued in GA
Practice address
744 1St St
Macon, GA 31201-6840
Phone
(478) 633-7600
Fax
(478) 633-7360
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 003043 GA Primary

Addresses

Primary practice location

744 1St St
Macon, GA 31201-6840

Mailing address

744 1St St
Macon, GA 31201-6840
Phone (478) 633-7600

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110811000899 GA Practitioner - Pediatric Medicine 8820267610 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
003043GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Healthcare Management Inc CurrentSince Jan 23, 2025 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Jan 23, 2025 Accepting new patients
Floyd Healthcare Management Inc Current Accepting new patients
Health Services of Central Georgia, Inc Pediatrics CurrentSince Aug 1, 2011 Accepting new patients
Central Georiga Fertility Institute Past Accepting new patients
The Medical Center of Central Georgia Inc Past Accepting new patients

Locations

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

770 Pine St
Ste 140
Macon, GA 31201
Phone (478) 633-1821

550 Professional Dr
Macon, GA 31201
Phone (478) 741-3007

744 1st St
Macon, GA 31201
Phone (478) 633-7500

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

990 Veterans Memorial Hwy NE
#A
Rome, GA 30161
Phone (706) 291-4100

Interoperability endpoints

  • Direct secure messaging: christy.peterson@pppc.eclinicaldirectplus.com
  • Direct secure messaging: christy.peterson@hscg.cernerdirect.com
  • Direct secure messaging: cpeterson433702@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1700047487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016840",
            "telephone_number": "478-633-7600",
            "fax_number": "478-633-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 1ST ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312016840",
            "telephone_number": "478-633-7600",
            "fax_number": "478-633-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CHRISTY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "003043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.