NPI age
20 years
Enumerated 2006-05-06
● Active
Type 1 · Individual
Jeffrey Justin Peterson, MD
Peterson is 1 of 381 radiology providers in Atlanta and 1 of 1280 in Georgia.
Primary specialty
Radiology
Plus 1 subspecialty
Licensed in
GA, MN
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-05-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active radiology providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 78% — 21% of peers are multi-state
Subspecialties
0
38% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-05Enumerated in NPPES
2006
2026
Where they practice
Practice location
1000 Johnson Ferry Rd
Atlanta, GA 30342
Mailing address
5605 Glenridge Dr Ste 325
Atlanta, GA 303421365
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
1221 Nicollet Ave, Suite 600
Minneapolis, MN 554032420
Location 3
1221 Nicollet Ave, Suite 600
Minneapolis, MN 554032420
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (MN) | P00252409 | RAILROAD MEDICARE |
| 01 (MN) | 16-03566 | MEDICA |
| 01 (WI) | P00285261 | RAILROAD MEDICARE |
| 01 (MN) | 171P6PE | BLUE CROSS/BLUE SHIELD OF MN |
| 05 (IA) | 0592113 | |
| 01 (MN) | 1935877 | AMERICA'S PPO |
| 05 (MN) | 390400800 | |
| 05 (WI) | 34649100 | |
| 01 (MN) | 9249279 | DAKOTA CARE |
| 01 (MN) | HP52064 | HEALTHPARTNERS |
| 01 (MN) | 135108 | UCARE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 362 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new radiology provider has been added in Atlanta in the last 180 days.
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Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.