P Praxis·MD
● Active Type 1 · Individual

Bradley Robert Peters, M.D.

Radiology·Douglasville, GA· NPI 1659374262 · Enumerated 2005 · 21 years on NPI
Peters is 1 of 3 radiology providers in Douglasville and 1 of 1280 in Georgia.
NPI age
21 years
Enumerated 2005-05-27
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
GA, NY, AL, DC
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-08-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active radiology providers in Georgia.

NPI age
21 years
↑ 2 yr above median (19 yr)
State licenses
4 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-05Enumerated in NPPES
2005 2026

Where they practice

Practice location
6025 Professional Pkwy Ste 104
Douglasville, GA 301345610
📞 4074126300
Mailing address
700 E Morehead St Ste 300
Charlotte, NC 282022742

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
200 Oakside Ln, Ste A
Canton, GA 301146416
📞 7704791945fax 7704791948
Location 3
2041 Georgia Ave Nw # 1r84
Washington, DC 200606416
📞 2028653610

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    GA license #51890NY license #202673AL license #26644DC license #MD21001176 taxonomy 2085R0202X

Identifiers

TypeValueNotes
05 (GA) 000964268L
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

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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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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