CORY GRANT PETERS PA NPI 1144395708

NPI Information

  • NPI: 1144395708
  • Provider Name: CORY GRANT PETERS, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10475 CENTURION PKWY N
    SUITE 220
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 634-0640

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NPI Details

Cory Grant Peters, PA is a surgical physician assistant in Jacksonville, FL with 14 years of experience. Cory Grant Peters, PA NPI is 1144395708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10475 CENTURION PKWY N
SUITE 220
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 634-0640
Fax: (904) 634-0203

The NPI 1144395708 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Injection into tendon or ligament (HCPCS:20550)
  • X-ray of elbow, 2 views (HCPCS:73070)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection of carpal tunnel (HCPCS:20526)
  • Injection into tendon at attachment to bone or muscle (HCPCS:20551)

The enumeration date for this NPI number is 11/21/2006 and was last updated on 9/26/2024.

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
1363AS0400XPhysician AssistantSurgicalPA9106781FLORIDAYes
2363A00000XPhysician AssistantPA9106781FLORIDANo

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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