Peter Michael Skaliy, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

031835 Issued in GA

Practice address

12425 Morris Rd
Alpharetta, GA 30005-4137

Phone

(770) 844-3242

Fax

(678) 325-2919

NPI assigned

Nov 3, 2006

Last updated

Jun 9, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1770662298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420709",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303420709",
            "telephone_number": "770-844-3242",
            "fax_number": "678-325-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12425 MORRIS RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054137",
            "telephone_number": "770-844-3242",
            "fax_number": "678-325-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKALIY",
        "first_name": "PETER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "031835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajender Singh, M.D.
• Keebra Battista Singletary, LMBT
• Sip Investments LLC (Healthmart Pharmacy of Johns Creek)
• Daniel Hall Sisterhen, PH.D.
• SK Therapy
• Nathan Collin Sklar, MD
• Kathleen Marie Sklivagkos
• Daniel Slatinsky, M.A.
• Brittany M Slaughter, BCBA
• Heide Marie Sloan, D.C.

• Interventional Pain Medicine Physician in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; 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.