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

Vanessa Peter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114631835

Vanessa Peter is a Physician Assistant in Suwanee, Georgia. Qualified in 2023, 3 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
3
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

625 Old Peachtree Rd NW
Suwanee, GA 30024-2937
Phone: (678) 225-7500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11951
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1114631835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 9, 2023
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing address625 Old Peachtree Rd Nw, Suwanee, GA 30024-2937

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Suwanee