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

Sally Ann Peterson, MD

Individual provider Emergency Medicine Physician · NPI 1093375453

Sally Ann Peterson, MD is an Emergency Medicine in Augusta, Georgia. Qualified in 2019, 7 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
7
Licensed in
GA, SC
In the registry since
2019
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

1120 15th St
Augusta, GA 30912-4210
Phone: (706) 721-2273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 701 Grove Rd, Greenville, SC 29605-4210 — (864) 455-5198

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 91662 (GA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence LL82752 (SC)

Record details

NPI number1093375453
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 24, 2022
Certification dateJune 24, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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