GENA SUSAN PETERSON (FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1508322926

GENA SUSAN PETERSON (FNP-C) is a healthcare provider. based in Colquitt, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. RN123548 (GA). The NPI Number for GENA SUSAN PETERSON (FNP-C) is 1508322926

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
GENA SUSAN PETERSON (FNP-C)
NPI
1508322926
Phone
(229) 400-1976
Address
358 GRIMSLEY RD
Enumeration Date
11 February 2019
Last Update Date
21 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8885153834
Graduation Year
2018 (8 years ago)
PAC ID
2062745649
Group Practice PAC ID
7416254990
Professional Enrollment ID
I20190613001947
Address ID
GA300123823CO1420XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for GENA SUSAN PETERSON (FNP-C)

  • 358 GRIMSLEY RD

    COLQUITT, GA 398377436

    Phone: (229) 400-1976

    Type: Mailing

  • Florence Avenue, Donalsonville, Seminole County, Georgia, 39845, United States

    DONALSONVILLE, GA 398451135

    Phone: (229) 524-5217

    Fax: (229) 524-6038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $407.

Total Amount is formed as General ($407) + Research ($0) + Ownership ($0) = $407.

Last reported payment date: 2024-04-09 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($317).

Total Amount

$407

General + Research + Ownership

Payments

12

Total payment records

General Amount

$407

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-06-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190613001947INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,435398$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes9368$0
90792Psychiatric diagnostic evaluation with medical services6767$0
View full utilization report →

Insurance plans in this area (ZIP 39837)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416254990View full group profile
NameSpecialtyState
Mental Health CounselorGA
Nurse PractitionerGA
Nurse PractitionerCA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Marriage And Family TherapistGA
Mental Health CounselorGA
-GA
-TN

Reviews

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Frequently asked questions

What unique ID ties claims to GENA SUSAN PETERSON (FNP-C)?
NPI 1508322926 is assigned to GENA SUSAN PETERSON (FNP-C) under the national enumeration system.
Is GENA SUSAN PETERSON (FNP-C)'s NPI currently valid?
The extract we use shows GENA SUSAN PETERSON (FNP-C) as active.
What kind of provider is GENA SUSAN PETERSON (FNP-C)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for GENA SUSAN PETERSON (FNP-C). Clinical services aligned with this taxonomy classification.
Does GENA SUSAN PETERSON (FNP-C) practice in Georgia?
You will see Colquitt, Georgia on file for GENA SUSAN PETERSON (FNP-C) alongside any extra practice locations.
How can I contact GENA SUSAN PETERSON (FNP-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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