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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GEORGIA PETERSON
NPI 1992595359
Physician Assistant in Provo, UT

Active since May 08, 2025
1800 NOVELL PL, PROVO, UT 84606(801) 375-5125 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Georgia Peterson NPPES

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

GEORGIA PETERSON (NPI 1992595359) is an individual physician assistant in Provo, Utah, licensed in Utah (14312063-1206) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1992595359
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameGEORGIA PETERSON
Location Address1800 NOVELL PLProvo, UT 84606-6171
Mailing Address1537 S Lincoln StSalt Lake City, UT 84105-2319
Phone(801) 375-5125
Sole ProprietorNo
Enumeration DateMay 8, 2025
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1992595359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14312063-1206
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1800 NOVELL PL, Provo, UT 84606
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Other Names 1

Former Name (1)Georgia Brookstein

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.

JESSICA WILLMORE HAYES
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KAYLEN MCGUIRE PA-S
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
ELIZABETH WUERCH
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
RACHEL VELA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (503) 403-8268
LAUREN VICTORIA BROWN
Physician Assistant
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 200-6741
HALEY ANN EDONE
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KELLIE LYNN CAMPBELL
Physician Assistant
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
MACKENZIE RIDLEY PA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125

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 Georgia Peterson's NPI number?

The NPI number for Georgia Peterson is 1992595359. It was assigned to this individual provider in the NPPES registry on May 8, 2025. The provider is also known as Georgia Brookstein.

Where is Georgia Peterson located?

Georgia Peterson practices at 1800 Novell Pl, Provo, UT 84606. The listed phone number is (801) 375-5125.

What is Georgia Peterson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Georgia Peterson was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.