MR. JOHN ALTON PETTAY (FNP C) – Family Nurse Practitioner, NPI 1902851645

MR. JOHN ALTON PETTAY (FNP C) is a healthcare provider. based in Grayson, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials FNP C. They hold a License No. RN107083 NP (GA). The NPI Number for MR. JOHN ALTON PETTAY (FNP C) is 1902851645

Main info

Male
Name
MR. JOHN ALTON PETTAY (FNP C)
NPI
1902851645
Phone
(770) 985-2845
Address
1105 PEBBLE BEND DRIVE
Enumeration Date
23 May 2006
Last Update Date
13 January 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. JOHN ALTON PETTAY (FNP C)

  • 1105 PEBBLE BEND DRIVE

    GRAYSON, GA 30017

    Phone: (770) 985-2845

    Fax: (770) 985-2845

    Type: Mailing

  • Henry Clower Boulevard, Snellville, Gwinnett County, Georgia, 33078, United States

    SUITE 101

    SNELLVILLE, GA 30078

    Phone: (770) 972-4871

    Fax: (770) 979-3782

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30017)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. JOHN ALTON PETTAY (FNP C)?
MR. JOHN ALTON PETTAY (FNP C) — NPI 1902851645 — is the standard way to identify this listing.
Can I rely on MR. JOHN ALTON PETTAY (FNP C) being an active provider?
As of the registry snapshot, MR. JOHN ALTON PETTAY (FNP C) is marked active.
What is MR. JOHN ALTON PETTAY (FNP C) best known for clinically?
Directory data describes MR. JOHN ALTON PETTAY (FNP C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. JOHN ALTON PETTAY (FNP C)?
MR. JOHN ALTON PETTAY (FNP C)'s geographic hint is Grayson, Georgia in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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