Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FANESHIA PETERSON, FNP
DeactivatedFANESHIA PETERSON, FNP is a Family Nurse Practitioner healthcare provider located in ELLENWOOD, Georgia. NPI 1942898473 is deactivated in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · ELLENWOOD, GA
This NPI has been deactivated.
The record was deactivated on January 20, 2021.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1942898473
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2021 (0.024657534246575 yrs)
- Last Updated
- Nov 1, 2025
- Deactivated
- Jan 20, 2021
- Licenses
-
APRN-NP259066 (GA)259066 (GA)
Practice Information
- Address
-
4475 W VILLAGE PKWYELLENWOOD, GA, 302942869Browse GA providers · Browse ZIP 30294
- Phone
- 7705077950
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Registered Nurse
Other Family Nurse Practitioner Providers in ELLENWOOD, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. TERRILYN D LEMONS | APRNP | 1336304682 |
| KATHLEEN C HAYNES | FNP | 1992065718 |
| SIAMECO CURTIS | NP-C | 1710386313 |
| TAMARIA DUNN | FNP-C | 1992108328 |
| TREVINO C SIMMONS | FNP | 1346797065 |
| SHALUNDRAH MCINTIRE | — | 1326588104 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.