1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Chiropractor
  6. NPI Profile

DR. KRISTOFOR MIKAEL PETERSON DC
NPI 1205972304
Chiropractor in Atlanta, GA

Active since January 29, 2007
587 VIRGINIA AVE NE, STE 4, ATLANTA, GA 30306(404) 477-7911(404) 477-0750 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kristofor Mikael Peterson Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KRISTOFOR MIKAEL PETERSON DC (NPI 1205972304) is an individual chiropractor in Atlanta, Georgia, licensed in Georgia (CHIR007503) and active in the NPI registry since January 2007. He is a graduate of Other (2003).

NPPES Registry Identity

NPI1205972304
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KRISTOFOR MIKAEL PETERSONCredential: DC
Location Address587 VIRGINIA AVE NE, STE 4Atlanta, GA 30306-3695
Mailing Address1638 Delia DrDecatur, GA 30033-3318 · (404) 668-8719 · Fax (404) 477-0750
Phone(404) 477-7911
Fax(404) 477-0750
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205972304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in GA · CHIR007503
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
587 VIRGINIA AVE NE, Atlanta, GA 30306
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristofor Mikael Peterson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749773497
PECOS Enrollment IDI20251202002885

Medicare Billing Reassignment

Medicare enrollment records show Kristofor Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virginia Hill Chiropractic PC
1.7 mi
Chiropractor
1830 PIEDMONT AVE NE STE C
Atlanta, GA 30324
  • Reassigned Medicare billing, Georgia enrollment
NPI 1790578128 (404) 477-7911

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LOUISA S BERMAN DMD
Dentist (Prosthodontics)
587 VIRGINIA AVE NE, SUITE 5
ATLANTA, GA 30306
Fulton County (404) 433-3933

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 Kristofor Peterson's NPI number?

The NPI number for Kristofor Peterson is 1205972304. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Kristofor Peterson located?

Kristofor Peterson practices at 587 Virginia Ave NE Ste 4, Atlanta, GA 30306. The listed phone number is (404) 477-7911.

What is Kristofor Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kristofor Peterson enrolled in Medicare?

Yes. Kristofor Peterson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kristofor Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristofor Peterson reassigns Medicare benefits to Virginia Hill Chiropractic PC (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 Kristofor Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kristofor Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.