MR. JUSTIN PETERSON (MD) – Obstetrics & Gynecology Physician, NPI 1073893616
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,266 OBSTETRICS/GYNECOLOGY in GA
Provider Addresses for MR. JUSTIN PETERSON (MD)
2010 OCILLA RD
DOUGLAS, GA 315332230
Phone: (912) 384-2500
Fax: (912) 383-6788
Type: Mailing
1050 Valdosta Hwy
Homerville, GA 316349701
Phone: (912) 384-2500
Fax: (912) 383-6788
Type: Location
11 Cross St
Hazlehurst, GA 315396427
Phone: (912) 384-2500
Fax: (912) 383-6788
Type: Location
1724A Old Reynolds St
Waycross, GA 315011036
Phone: (912) 384-1477
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $751.
Total Amount is formed as General ($751) + Research ($0) + Ownership ($0) = $751.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Astellas Pharma US Inc ($231).
Total Amount
$751
General + Research + Ownership
Payments
31
Total payment records
General Amount
$751
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $231 |
| Myriad Women's Health, Inc. | $115 |
| ABBVIE INC. | $88 |
| Hologic Sales and Service, LLC | $80 |
| Sumitomo Pharma America, Inc. | $61 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-01-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190109002234 | I | Obstetrics/Gynecology | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 15 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 31533)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| U R O L O G Y | GA | |
| General Surgery | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Nurse Practitioner | ME | |
| Cardiovascular Disease (Cardiology) | GA | |
| - | GA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | ME | |
| Physician Assistant | GA |
Reviews
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