Jon K Peters, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

18204 Issued in SC

Practice address

7613 Garners Ferry Rd
Columbia, SC 29209-3811

Phone

(839) 600-9190

Fax

(839) 600-9195

NPI assigned

Mar 18, 2013

Last updated

Jul 1, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sahaj Healthcare LLCGroup PAC ID 1557744760, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sahaj Healthcare LLC

  • Internal Medicine Physician
  • Rock Hill, SC
  • NPI 1023742327
  Medicare reassignment Care Compare group NPD
• Carolina Family Care, Inc

  dba MUSC Physicians PCP

  • Family Medicine Physician
  • Charleston, SC
  • NPI 1184655722
  Medicare reassignment NPD
• Medcare Express - North Charleston LLC

  dba Medcare Urgent Care

  • Urgent Care Clinic/Center
  • Charleston, SC
  • NPI 1457579617
  Medicare reassignment NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Waccamaw Center for Mental Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conway, SC
  • NPI 1356397228
  Medicare reassignment NPD
• Carolina Family Care, Inc

  dba MUSC Health Spine Physical Medicine & Rehabilitation - Mt Pleasant

  • Physical Medicine & Rehabilitation Physician
  • Mount Pleasant, SC
  • NPI 1639409808
  NPD
• Medcare Urgent Care Center - Anderson LLC

  • Urgent Care Clinic/Center
  • Anderson, SC
  • NPI 1689004095
  NPD
• South Carolina Dept of Mental Health Accounting Office

  dba Midlands Crisis Stabilization Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1083421994
  NPD
• Anesthesia & Pain Consultants of SW FL

  • Specialist
  • Fort Myers, FL
  • NPI 1609843275
  NPD (past)

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1720320740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7613 GARNERS FERRY RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292093811",
            "telephone_number": "839-600-9190",
            "fax_number": "839-600-9195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Sauls St Ste E",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "SC",
            "postal_code": "295602677",
            "country_code": "US",
            "telephone_number": "843-699-9183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "905 Verdae Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296074098",
            "country_code": "US",
            "telephone_number": "864-286-7550",
            "fax_number": "864-286-7551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERS",
        "first_name": "JON",
        "middle_name": "K",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "18204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Stella Peter
• Stephanie Jo Peter, RD, CDE
• Brittany Ray Peters, MD
• Craig Peters
• Frank Andrew Peters, M.D.
• Meredith Peters
• Sahara Peters, DO
• Walter Hamilton Peters IV, M.D.
• Kevin Leon Petersen, PSY.D.
• Peterson Psychological Services, LLC

• Family Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.