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SANDRA ANN PETERSON NP
NPI 1497302046
Nurse Practitioner - Psychiatric/Mental Health in Buford, GA

Active since August 19, 2019PECOS EnrolledAccepts Medicare Assignment
4330 S LEE ST BLDG 208, BUFORD, GA 30518(470) 215-1788 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2022, Mar 20, 2020, Aug 19, 2019 (3 updates tracked since 2019).

About Sandra Ann Peterson Np NPPES

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

SANDRA ANN PETERSON NP (NPI 1497302046) is an individual psychiatric/mental health provider in Buford, Georgia, licensed in Georgia (105507) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497302046
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSANDRA ANN PETERSONCredential: NP
Location Address4330 S LEE ST BLDG 208Buford, GA 30518-3072
Mailing Address4330 S Lee St Bldg 208Buford, GA 30518-3072 · (470) 215-1788
Phone(470) 215-1788
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 19, 2019
Last NPPES UpdateOctober 24, 20223 updates tracked since enumeration
NPPES CertifiedOctober 24, 2022
✔ NPI 1497302046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · 105507
4330 S LEE ST BLDG 208, Buford, GA 30518
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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

Sandra Ann Peterson 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.

PECOS PAC ID5698104370
PECOS Enrollment IDI20200331003270
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Sandra Peterson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Beautiful Dreamers
Same address
Mental Health
4330 S LEE ST STE 200A
Buford, GA 30518
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1396237731 (470) 326-5176
Manna Scholarship Fund Inc
12 mi
Adult Mental Health
3305 BRECKINRIDGE BLVD STE 116
Duluth, GA 30096
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
NPI 1083089239 (770) 495-9775
Carenow Services, LLC
19 mi
Community/Behavioral Health
401 BOMBAY LN
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 45 clinicians in this Medicare group
NPI 1770713117 (770) 664-1920
United Psychology Center, LLC
22 mi
Psychiatry
2900 CHAMBLEE TUCKER RD BLDG 16
Atlanta, GA 30341
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
NPI 1063704542 (770) 939-1288

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 4

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
197 services63 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
164 services61 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
106 services41 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30518 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sandra Peterson's NPI number?

The NPI number for Sandra Peterson is 1497302046. It was assigned to this individual provider in the NPPES registry on August 19, 2019.

Where is Sandra Peterson located?

Sandra Peterson practices at 4330 S Lee St Bldg 208, Buford, GA 30518. The listed phone number is (470) 215-1788.

What is Sandra Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sandra Peterson enrolled in Medicare?

Yes. Sandra 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 Sandra Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Peterson reassigns Medicare benefits to 4 organizations: Beautiful Dreamers (Buford, GA), Manna Scholarship Fund Inc (Duluth, GA), Carenow Services, LLC (Roswell, GA) and United Psychology Center, LLC (Atlanta, GA). 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 Sandra 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 Sandra Peterson was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.