Peterson Dermatology, P.C.
NPI 1932300886 · Dermatology Physician · Vidalia, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peterson Dermatology, P.C. is a Dermatology Physician organization in Vidalia, GA (NPI 1932300886).
Provider details
- NPI number
- 1932300886
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Letty Peterson, Dermatologist(912) 538-9080
- License
- 058913 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
19 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
- 2007-05-29
- Last updated
- 2013-09-20
Frequently asked questions
- What is Peterson Dermatology, P.C.'s NPI number?
- Peterson Dermatology, P.C.'s National Provider Identifier (NPI) is 1932300886, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peterson Dermatology, P.C.?
- Peterson Dermatology, P.C. is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Peterson Dermatology, P.C. located?
- Peterson Dermatology, P.C.'s practice location on file with NPPES is 305 W 1st St, Vidalia, GA 30474-3302.
- What is Peterson Dermatology, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Peterson Dermatology, P.C. is (912) 538-9080.
- Does Peterson Dermatology, P.C. accept Medicare?
- Peterson Dermatology, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peterson Dermatology, P.C.?
- The authorized official listed on Peterson Dermatology, P.C.'s NPPES record is Letty Peterson, Dermatologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peterson Dermatology, P.C.'s NPI active?
- Yes — Peterson Dermatology, P.C.'s NPI (1932300886) is active in the NPPES registry as of the last update on 2013-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.