Randall Peterson, M.D.
NPI 1902124308 · Family Medicine Physician · Grovetown, GA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Randall Peterson, M.D. is a Family Medicine Physician provider in Grovetown, GA (NPI 1902124308).
Provider details
- NPI number
- 1902124308
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 72759 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-05-10
- Last updated
- 2024-03-21
- Certified
- 2024-03-21
Frequently asked questions
- What is Randall Peterson's NPI number?
- Randall Peterson's National Provider Identifier (NPI) is 1902124308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Randall Peterson's specialty?
- Randall Peterson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Randall Peterson located?
- Randall Peterson's practice location on file with NPPES is 4039 Gateway Blvd, Grovetown, GA 30813-3195.
- What is Randall Peterson's phone number?
- The practice phone number listed in the NPPES registry for Randall Peterson is (706) 922-1600.
- Does Randall Peterson accept Medicare?
- Randall Peterson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Randall Peterson's NPI active?
- Yes — Randall Peterson's NPI (1902124308) is active in the NPPES registry as of the last update on 2024-03-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.