Robert Curt Peterson, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PSY003322 Issued in GA

Practice address

5041 Warm Springs Rd Ste C
Columbus, GA 31909-6938

Phone

(706) 221-2448

Fax

(706) 221-2338

NPI assigned

Dec 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 14, 2017 through Mar 14, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1871822361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 WARM SPRINGS RD STE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096938",
            "telephone_number": "706-221-2448",
            "fax_number": "706-221-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 WARM SPRINGS RD STE C",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096938",
            "telephone_number": "706-221-2448",
            "fax_number": "706-221-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "ROBERT",
        "middle_name": "CURT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-14",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AL",
            "license": "1579",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "PSY003322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felicia Peterson
• Heather Payton Melissa Peterson, SLP
• Jasmine Peterson, PA
• Jessica Rae Peterson
• Laura Beth Peterson
• Summer L Peterson, BCBA
• Allison Shanley Petrenchak
• Kelly Pettis
• Tyleasha S Pettway
• Eric T. Petty, PT

• Counseling Psychologist in Columbus, GA
• Providers in Columbus, GA by specialty
• Counseling Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.