MELISSA KRISTINE PETERSEN NP
NPI 1033001029
Nurse Practitioner - Family in Peachtree City, GA
About Melissa Kristine Petersen Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA KRISTINE PETERSEN NP (NPI 1033001029) is an individual family provider in Peachtree City, Georgia, licensed in Georgia (RN209021) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Melissa Kristine Petersen Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Melissa Petersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30307
- Reassigned Medicare billing, Georgia enrollment
- 427 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEACHTREE CITY, GA 30269
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Melissa Petersen's NPI number?
The NPI number for Melissa Petersen is 1033001029. It was assigned to this individual provider in the NPPES registry on July 16, 2025.
Where is Melissa Petersen located?
Melissa Petersen practices at 1401 Georgian Park Ste 200, Peachtree City, GA 30269. The listed phone number is (770) 632-8909.
What is Melissa Petersen's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Petersen enrolled in Medicare?
Yes. Melissa Petersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Melissa Petersen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Petersen reassigns Medicare benefits to Piedmont Medical Care Corporation (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Petersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Melissa Petersen affiliated with any hospitals?
According to CMS data, Melissa Petersen is affiliated with Piedmont Fayette Hospital.
When was this NPI record last updated?
The NPPES record for Melissa Petersen was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Melissa Kristine Petersen, NP · NPI 1033001029
Family physician in Peachtree City, Georgia. Individual provider, active in the CMS NPPES registry since July 16, 2025.
## Identity
- **NPI:** 1033001029 (Entity type: Individual)
- **Enumerated:** July 16, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN209021 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1401 GEORGIAN PARK STE 200, Peachtree City, GA 30269-6974
- **Phone:** (770) 632-8909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Piedmont Medical Care Corporation (NPI 1912956046, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033001029) · Data from the CMS NPPES public registry.