NPI age
20 years
Enumerated 2006-01-04
● Active
Type 1 · Individual
DR. Matthew Shane Peterson, M.D
Peterson is 1 of 8 obstetrics & gynecology providers in Kennesaw and 1 of 1893 in Georgia.
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
GA, NC
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-01-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1893 active obstetrics & gynecology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 88% — 11% of peers are multi-state
Subspecialties
0
22% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Practice location
750 Townpark Ln Nw
Kennesaw, GA 301445579
Mailing address
750 Townpark Ln Nw
Kennesaw, GA 301445579
Specialties
-
Obstetrics & Gynecology PrimaryAn obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 89132R9 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 61 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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