Active NPI
Terry Wayne Hansen, M.D.
- Specialist
- Social Circle, GA
National Provider Identifier
1013906387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 047330
- Practice address
- 1027 Bateman Dr
Suite B
Social Circle, GA 30025-5025 - Phone
- (770) 464-2048
- Fax
- (770) 464-9995
- NPI assigned
- Oct 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 047330 | GA | Primary |
Addresses
Primary practice location
1027 Bateman Dr
Suite B
Social Circle, GA 30025-5025
Mailing address
703 Sterling Water CT
Monroe, GA 30655-7707
Phone (770) 266-7954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047330 | GA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premise Health of Georgia Medical, P.C. | Current | Accepting new patients | |
| Premise Health of Georgia Medical PC | Current | Accepting new patients | |
| Premise Health of Georgia Medical PC | Current | Accepting new patients | |
| Monroe Hma Physician Management LLC | Past | Accepting new patients |
Locations
184 Professional Dr
Unit B
Baldwin, GA 30511
Phone (706) 894-2714
16906 Collection Ctr Dr
Chicago, IL 60693
Organizations & group practices 4
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.
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- Family Medicine Physician
- Baldwin, GA
- NPI 1952465056
-
- Internal Medicine Physician
- Monroe, GA
- NPI 1992757306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1013906387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 STERLING WATER CT",
"city": "MONROE",
"state": "GA",
"postal_code": "306557707",
"telephone_number": "770-266-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 BATEMAN DR",
"address_2": "SUITE B",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300255025",
"telephone_number": "770-464-2048",
"fax_number": "770-464-9995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "TERRY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "047330",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Social Circle, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.