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

MS. Rachael Gabri Peterson, PA-C

Individual provider Physician Assistant · NPI 1891417788

MS. Rachael Gabri Peterson, PA-C is a Physician Assistant in Fayetteville, Georgia. Qualified in 2022, 4 years ago. Practices with Georgia Urology, PA, a 100-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
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

1336 Highway 54 W Bldg 200
Fayetteville, GA 30214-4574
Phone: (770) 460-9777
Fax: (770) 460-0650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11161 (GA)

Record details

NPI number1891417788
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2022
Last updated in NPPESApril 16, 2024
Certification dateApril 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Georgia Urology, Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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