DR. CARL FREDERICK PETERSON JR. DDS
NPI 1386706448
Dentist in Rossville, GA

Active since December 15, 2006PECOS Enrolled
1200 MCFARLAND AVE, ROSSVILLE, GA 30741(706) 861-1828(706) 861-1936 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carl Frederick Peterson Jr. Dds NPPES

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

DR. CARL FREDERICK PETERSON JR. DDS (NPI 1386706448) is an individual dentist in Rossville, Georgia, licensed in Georgia (DS 8378) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386706448
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. CARL FREDERICK PETERSON JR.Credential: DDS
Location Address1200 MCFARLAND AVERossville, GA 30741-2312
Mailing Address1200 Mcfarland AveRossville, GA 30741-2312 · (706) 861-1828 · Fax (706) 861-1936
Fax(706) 861-1936
Sole ProprietorYes
Enumeration DateDecember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1386706448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in GA · DS 8378
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1200 MCFARLAND AVE, Rossville, GA 30741

Other Identifiers 1

Medicaid000061685AGA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Carl Frederick Peterson Jr. Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
1200 MCFARLAND AVE
ROSSVILLE, GA 30741

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 Carl Peterson's NPI number?

The NPI number for Carl Peterson is 1386706448. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Carl Peterson located?

Carl Peterson practices at 1200 Mcfarland Ave, Rossville, GA 30741. The listed phone number is (706) 861-1828.

What is Carl Peterson's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Carl Peterson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Carl 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.