Individual provider Active NPI

Patricia A Peotter, MT

  • Specialist
  • Alpharetta, GA
National Provider Identifier
1891016887
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MT004662 Issued in GA
Practice address
9950 Jones Bridge Rd
Suite #600
Alpharetta, GA 30022-6574
Phone
(770) 734-0037
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MT004662 GA Primary

Addresses

Primary practice location

9950 Jones Bridge Rd
Suite #600
Alpharetta, GA 30022-6574

Mailing address

9950 Jones Bridge Rd
Suite #600
Alpharetta, GA 30022-6574
Phone (770) 734-0037

Other names 1

  • Patricia Ann Peotter Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT004662GAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1891016887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 JONES BRIDGE RD",
            "address_2": "SUITE #600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226574",
            "telephone_number": "770-734-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 JONES BRIDGE RD",
            "address_2": "SUITE #600",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300226574",
            "telephone_number": "770-734-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEOTTER",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "MT004662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "PEOTTER",
            "middle_name": "ANN",
            "credential": "MT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.