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MR. JOHN ALTON PETTAY FNP C
NPI 1902851645
Nurse Practitioner - Family in Snellville, GA

Active since May 23, 2006
2295 HENRY CLOWER BLVD, SUITE 101, SNELLVILLE, GA 30078(770) 972-4871(770) 979-3782 Get Directions Write a Review

NPPES record last updated: January 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. John Alton Pettay Fnp C NPPES

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

MR. JOHN ALTON PETTAY FNP C (NPI 1902851645) is an individual family provider in Snellville, Georgia, licensed in Georgia (RN107083 NP) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1902851645
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JOHN ALTON PETTAYCredential: FNP C
Location Address2295 HENRY CLOWER BLVD, SUITE 101Snellville, GA 30078
Mailing Address1105 Pebble Bend DriveGrayson, GA 30017 · (770) 985-2845 · Fax (770) 985-2845
Phone(770) 972-4871
Fax(770) 979-3782
Sole ProprietorNo
Enumeration DateMay 23, 2006
Last NPPES UpdateJanuary 13, 2009
✔ NPI 1902851645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN107083 NP
2295 HENRY CLOWER BLVD, Snellville, GA 30078
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Other Identifiers 1

Medicare UPIN50BBKTQGA

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.

JOHN E. WEST, M.D., P.C.
Family Medicine
2295 HENRY CLOWER BLVD, SUITE 101
SNELLVILLE, GA 30078
Gwinnett County (770) 972-4871
DR. AKIL A PATEL D.D.S.
Dentist (General Practice)
2295 HENRY CLOWER BLVD, STE. 100
SNELLVILLE, GA 30078
Gwinnett County (770) 978-1644
ALLYA ALLAWAY COTA/L
Occupational Therapy Assistant
2295 HENRY CLOWER BLVD, SUITE 100
SNELLVILLE, GA 30078
Gwinnett County (770) 995-9600
CASI JOHNSON
Speech-Language Pathologist
2295 HENRY CLOWER BLVD
SNELLVILLE, GA 30078
Gwinnett County (770) 995-9600

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 John Pettay's NPI number?

The NPI number for John Pettay is 1902851645. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is John Pettay located?

John Pettay practices at 2295 Henry Clower Blvd Suite 101, Snellville, GA 30078. The listed phone number is (770) 972-4871.

What is John Pettay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for John Pettay was last updated on January 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.