NPIMap

Individual provider Active NPI

Jacquelyn Cheatham-Terry, D.O

  • Family Medicine Physician
  • Acworth, GA
National Provider Identifier
1013276765
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
71325 Issued in GA
Practice address
4550 Cobb Parkway North NW Ste 201a
Acworth, GA 30101-4182
Phone
(770) 974-4655
Fax
(770) 974-1970
NPI assigned
May 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 71325 GA Primary

Addresses

Primary practice location

4550 Cobb Parkway North NW Ste 201a
Acworth, GA 30101-4182

Mailing address

4550 Cobb Parkway North NW Ste 201a
Acworth, GA 30101-4182
Phone (770) 974-4655

Other practice location 1

1650 Chattahoochee Dr
Rockmart, GA 30153-2023
Phone (770) 684-7846

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcheathamterry488196@directwellstar.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140711002193 GA Practitioner - Family Practice 3779708490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

4550 Cobb Pkwy N NW
Acworth, GA 30101-4182

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

Hospital & facility affiliations

  • Wellstar Home Health, LLC Home health agency, Marietta, GA, CCN 117102
  • Accentcare Home Health of Georgia Home health agency, Roswell, GA, CCN 117131
  • Centerwell Home Health Home health agency, Kennesaw, GA, CCN 117027
  • Wellstar Kennestone Regional Medical Center Hospital, Marietta, GA, CCN 110035
  • Wellstar Cobb Medical Center Hospital, Austell, GA, CCN 110143
  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042
  • Wellstar Douglas Medical Center Hospital, Douglasville, GA, CCN 110184
  • Piedmont Cartersville Medical Center Hospital, Cartersville, GA, CCN 110030
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles (6 of 11)

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Alex E. Rikhter, MD P.C. Current Accepting new patients
Capital Healthcare PC CurrentSince Nov 2, 2021 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2022 Accepting new patients
Allcare Ga PC Past Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

4550 Cobb Parkway North NW
Ste 201A
Acworth, GA 30101
Phone (770) 974-4655

3867 Roswell Rd NE
Ste 100
Atlanta, GA 30342
Phone (678) 904-5611

49 Hosiery Mill Rd
Ste 124
Dallas, GA 30157
Phone (770) 443-6111

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616

Networks

  • AL HMO D-SNP
  • devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
  • AL HMO
  • devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
  • devoted network organization-14bfd35d-d818-4696-813b-340339e464ef

Interoperability endpoints

  • Direct secure messaging: jcheathamterry488196@directwellstar.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1013276765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW STE 201A",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014182",
            "telephone_number": "770-974-4655",
            "fax_number": "770-974-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 COBB PARKWAY NORTH NW STE 201A",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014182",
            "telephone_number": "770-974-4655",
            "fax_number": "770-974-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Chattahoochee Dr",
            "address_purpose": "LOCATION",
            "city": "Rockmart",
            "state": "GA",
            "postal_code": "301532023",
            "country_code": "US",
            "telephone_number": "770-684-7846",
            "fax_number": "770-684-8294",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEATHAM-TERRY",
        "first_name": "JACQUELYN",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-15",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "71325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcheathamterry488196@directwellstar.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4550 Cobb Parkway North NW Ste 201A",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301014182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.