ANDREA MICHELLE PETERSON M.D. NPI 1063876019

NPI Information

  • NPI: 1063876019
  • Provider Name: ANDREA MICHELLE PETERSON, M.D.
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1375 HOSPITAL DR
    MOUNT PLEASANT, SC
    ZIP 29464
  • Phone: (843) 405-9918

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NPI Details

Andrea Michelle Peterson, M.D. is a reproductive endocrinology obstetrics gynecology in Mount Pleasant, SC. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. Andrea Michelle Peterson, M.D. NPI is 1063876019. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1375 HOSPITAL DR
MOUNT PLEASANT, SC
ZIP 29464-254
Phone: (843) 405-9918

The NPI 1063876019 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2016 and was last updated on 6/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207VE0102XObstetrics & GynecologyReproductive Endocrinology93452GEORGIANo
2207VG0400XObstetrics & GynecologyGynecology87872SOUTH CAROLINANo
3207VG0400XObstetrics & GynecologyGynecology93452GEORGIANo
4207VE0102XObstetrics & GynecologyReproductive Endocrinology87872SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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