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

Nicholas D A Peterkin, MD

Individual provider Family Medicine Physician · NPI 1912211905

Nicholas D A Peterkin, MD is a Family Practice in Ponte Vedra, Florida. Qualified in 2010, 16 years ago. Practices with Baptist Primary Care Inc, a 457-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
16
Licensed in
FL
In the registry since
2010
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

832 A1A N Ste 6
Ponte Vedra, FL 32082-3216
Phone: (904) 834-3793
Fax: (904) 390-7435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME114121 (FL)

Record details

NPI number1912211905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2010
Last updated in NPPESJanuary 5, 2021
Certification dateJanuary 5, 2021
Mailing addressPo Box 45443, Salt Lake City, UT 84145-0443

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Baptist Primary Care Inc — 457 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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