Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Daymon D Peterson, MD

Individual provider Internal Medicine Physician · NPI 1619406758

Daymon D Peterson, MD is an Emergency Medicine in Tupelo, Mississippi. Qualified in 2016, 10 years ago. Practices with Cep America - California, a 1,267-clinician group and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
10
Licensed in
CA, MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

201 W Main St
Tupelo, MS 38804-3917
Phone: (662) 432-4106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A173077 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301119035 (MI)

Record details

NPI number1619406758
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2017
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address177 Leek Rd, Modesto, CA 95357-0338

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cep America - California — 1267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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