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

Jeffrey Justin Peterson, MD

Individual provider Diagnostic Radiology Physician · NPI 1972552107

Jeffrey Justin Peterson, MD is a Diagnostic Radiology in Atlanta, Georgia. Qualified in 1999, 27 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and Minnesota.

Years since qualifying
27
Licensed in
GA, MN
In the registry since
2006
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

1000 Johnson Ferry Rd
Atlanta, GA 30342
Phone: (404) 851-6323
Fax: (404) 303-3747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1221 Nicollet Ave, Minneapolis, MN 55403-2420 — (612) 573-2200
  • 1221 Nicollet Ave, Minneapolis, MN 55403-2420 — (612) 573-2200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 066883 (GA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 47555 (MN)

Record details

NPI number1972552107
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2006
Last updated in NPPESMay 6, 2019

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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