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

Faneshia Peterson, FNP

Individual provider Family Nurse Practitioner · NPI 1942898473

Faneshia Peterson, FNP is a Nurse Practitioner in Ellenwood, Georgia. Qualified in 2023, 3 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4475 W Village Pkwy
Ellenwood, GA 30294-2869
Phone: (770) 507-7950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN-NP259066 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 259066 (GA)

Record details

NPI number1942898473
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 11, 2021
Last updated in NPPESNovember 1, 2025
Certification dateNovember 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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