MR. TERRY ANTHONY HACKWORTH (NPI# 1174895643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174895643 |
| Entity Type | Individual |
| Full Name | MR. TERRY ANTHONY HACKWORTH |
| Credential | MSN/MBA, NP-C |
| Practice Address |
2140 Peachtree Rd Nw Ste 232 Atlanta GA 30309 |
| Mailing Address |
2140 Peachtree Rd Nw Ste 232 Atlanta GA 30309-1316 |
| Practice Telephone | 4042314431 |
| Practice Fax Number | 4042315677 |
| Mailing Telephone | 4042314431 |
| Mailing Fax Number | 4042315677 |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2019-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN143003 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3280 Howell Mill Rd Nw, Ste 326, Atlanta, GA 303274111 | 4043553788 | 4043556370 |
| Street Address |
2140 PEACHTREE RD NW STE 232 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982604336 | Dennis M. Melton | Internal Medicine | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2005-07-28 |
| 1457990517 | Amy Rosen | Pharmacist | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2020-01-06 |
| 1265993802 | Danny Sprouse | Counselor | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2019-03-27 |
| 1285122085 | Danielle Monique Ward | General Practice | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 | 2018-04-26 |
| 1023537321 | Oakhurst Medical Centers, Inc. | Clinic/Center | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2017-09-18 |
| 1184098089 | Martha Sipe | Nurse Practitioner | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2015-11-16 |
| 1134507171 | Rodrick Stewart | Family Medicine | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2015-05-11 |
| 1003205287 | Dacenta Grice | Physician Assistant | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309 | 2015-01-12 |
| 1013315167 | Lorena Torres Williams | Nurse Practitioner | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2014-12-05 |
| 1003244021 | Mary Allene Harrison | Nurse Practitioner | 2140 Peachtree Rd Nw Ste 232, Atlanta, GA 30309-1316 | 2013-10-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154110 | Christina Danielle Palau Vaccari | Nurse Practitioner | 712 Pasley Ave Se, Atlanta, GA 30316-2158 | 2020-11-07 |
| 1386144848 | Gabrielle Nicole Stevens | Nurse Practitioner | 980 Johnson Ferry Rd Ste 900, Atlanta, GA 30342-4768 | 2018-02-20 |
| 1316451909 | Tamika Antoinette Thompson | Nurse Practitioner | 2569 Saint Paul Dr Sw, Atlanta, GA 30331-9221 | 2017-11-20 |
| 1396268819 | Erin Bremer | Nurse Practitioner | 12 Executive Park Dr Ne Fl 4, Atlanta, GA 30329-2206 | 2017-07-18 |
| 1275063513 | Dhruvangi Sharma | Nurse Practitioner | 8095 Roswell Rd, Atlanta, GA 30350-3931 | 2017-06-19 |
| 1093191249 | Sheryl Lamb | Nurse Practitioner | 455 E Ontario Ave Sw, Atlanta, GA 30310-1505 | 2015-08-10 |
| 1831584549 | Hope A Khan | Nurse Practitioner | 7101 Saint Clair Dr Ne, Atlanta, GA 30329-2679 | 2015-03-30 |
| 1669891941 | Sherly Clairvil | Nurse Practitioner | 5825 Glenridge Dr Ste 120, Atlanta, GA 30328-5387 | 2014-04-15 |
| 1770906620 | Countiss Williams | Nurse Practitioner | 3161 Howell Mill Rd Nw Ste 400, Atlanta, GA 30327-2117 | 2014-01-29 |
| 1609207208 | Bonnie Sparks | Nurse Practitioner | 1762 Clifton Road Ne, Atlanta, GA 30022 | 2013-12-06 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.