P Praxis·MD
● Active Type 1 · Individual

Oyinlola Abisola Peterson, PA-C

Physician Assistant·Riverdale, GA· NPI 1598151037 · Enumerated 2015 · 11 years on NPI
Peterson is 1 of 4 physician assistant providers in Riverdale and 1 of 1333 in Georgia.
NPI age
11 years
Enumerated 2015-04-10
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-04-10
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
11 years
↓ 4 yr below median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
11 Upper Riverdale Rd
Riverdale, GA 30274
📞 7709918199
Mailing address
5216 Rosewood Pl
Fairburn, GA 302135113
📞 6786620554

Additional practice locations

1 secondary location on file with NPPES.

Location 2
550 Peachtree St Ne, Suite 1220
Atlanta, GA 303082208
📞 4042305622fax 4042305623

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #7539 taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (GA) 003159740A

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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