DR. GAJARAH BASEEMAH BALLARD PETERSON M.D.
NPI 1467626788
Internal Medicine in Wilmington, NC
About Dr. Gajarah Baseemah Ballard Peterson M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GAJARAH BASEEMAH BALLARD PETERSON M.D. (NPI 1467626788) is an individual internal medicine provider in Wilmington, North Carolina, licensed in North Carolina (2011-00839) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Sampson Regional Medical Center, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses 3
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
Dr. Gajarah Baseemah Ballard Peterson M.d. 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 Reassignments
6Medicare enrollment records show Gajarah Peterson reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Whiteville, NC 28472
- Reassigned Medicare billing, North Carolina enrollment
- 216 clinicians in this Medicare group
Pembroke, NC 28372
- Reassigned Medicare billing, North Carolina enrollment
- 248 clinicians in this Medicare group
Albemarle, NC 28001
- Reassigned Medicare billing, North Carolina enrollment
- 1,646 clinicians in this Medicare group
Kannapolis, NC 28081
- Reassigned Medicare billing, North Carolina enrollment
- 160 clinicians in this Medicare group
Bluefield, WV 24701
- Reassigned Medicare billing, North Carolina enrollment
- 181 clinicians in this Medicare group
Albuquerque, NM 87111
- Reassigned Medicare billing, North Carolina enrollment
- 155 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sampson Regional Medical Center
Acute Care Hospitals · Clinton, NCNovant Health New Hanover Regional Medical Center
Acute Care Hospitals · Wilmington, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28401 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILMINGTON, NC 28401
WILMINGTON, NC 28401
WILMINGTON, NC 28401
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 Gajarah Peterson's NPI number?
The NPI number for Gajarah Peterson is 1467626788. It was assigned to this individual provider in the NPPES registry on April 17, 2008.
Where is Gajarah Peterson located?
Gajarah Peterson practices at 1202 Medical Center Dr, Wilmington, NC 28401. The listed phone number is (910) 341-3300.
What is Gajarah Peterson's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Gajarah Peterson enrolled in Medicare?
Yes. Gajarah Peterson 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 organizations bill Medicare for Gajarah Peterson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gajarah Peterson reassigns Medicare benefits to 6 organizations: Columbus Regional Health Network (Whiteville, NC), Scotland Regional Health Network (Pembroke, NC), Carolinas Physicians Network Inc (Albemarle, NC), Inpatient Consultants Of North Carolina, PC (Kannapolis, NC), Cs Pacs 3 Southeast, LLC (Bluefield, WV) and 1 more organization, listed in the Medicare section above. Each 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 Gajarah Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Gajarah Peterson affiliated with any hospitals?
According to CMS data, Gajarah Peterson is affiliated with Sampson Regional Medical Center and Novant Health New Hanover Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Gajarah Peterson was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Gajarah Baseemah Ballard Peterson, M.D. · NPI 1467626788
Internal Medicine physician in Wilmington, North Carolina. Individual provider, active in the CMS NPPES registry since April 17, 2008.
## Identity
- **NPI:** 1467626788 (Entity type: Individual)
- **Enumerated:** April 17, 2008
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 2011-00839 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1202 MEDICAL CENTER DR, Wilmington, NC 28401-7307
- **Phone:** (910) 341-3300 · **Fax:** (910) 251-8824
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Columbus Regional Health Network (NPI 1790224962, Whiteville, NC); Scotland Regional Health Network (NPI 1891135067, Pembroke, NC); Carolinas Physicians Network Inc (NPI 1265756894, Albemarle, NC); Inpatient Consultants Of North Carolina, PC (NPI 1669422846, Kannapolis, NC); Cs Pacs 3 Southeast, LLC (NPI 1154104958, Bluefield, WV); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of North Carolina At Chapel Hill School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** September 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1467626788) · Data from the CMS NPPES public registry.