NPI age
6 years
Enumerated 2020-03-08
● Active
Type 1 · Individual
Naquiesha Peterson
Peterson is 1 of 2 specialist providers in Powder Springs and 1 of 250 in Georgia.
Primary specialty
Specialist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2020-03-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 250 active specialist providers in Georgia.
NPI age
6 years
≈ at median (7 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
10% of peers hold subspecialties
NPI lifetime · 2020 → 2026
2020-03Enumerated in NPPES
2020
2026
Where they practice
Practice location
3510 Ponderosa Ln
Powder Springs, GA 301272074
Mailing address
3510 Ponderosa Ln
Powder Springs, GA 301272074
Specialties
-
Specialist PrimaryA case manager who provides services for patients with prosthetics.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CO136709 | PROSTHETIC SPECIALIST |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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