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

Kelly-Ann Peters, PA-C

Individual provider Physician Assistant · NPI 1417425042

Kelly-Ann Peters, PA-C is a Physician Assistant in Gainesville, Georgia. Graduated from Philadelphia College of Osteopathic Medicine in 2018, 8 years ago. Practices with Northeast Georgia Physicians Group Inc, a 892-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1211 Sherwood Park Dr NE Ste A
Gainesville, GA 30501
Phone: (770) 219-3202
Fax: (770) 219-3209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1242 Park Hollow Ln, Lawrenceville, GA 30043-3885 — (770) 653-1092
  • 1242 Park Hollow Ln, Lawrenceville, GA 30043-3885 — (770) 653-1092

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 009045 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 9045 (GA)

Record details

NPI number1417425042
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 13, 2018
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Northeast Georgia Physicians Group Inc — 892 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Gainesville