Individual provider Active NPI

Teri Ashlea Shoop

  • Family Nurse Practitioner
  • Pooler, GA
National Provider Identifier
1023995750
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP287857 Issued in GA
Practice address
1000 Towne Center Blvd BLDG 1200
Pooler, GA 31322-4129
Phone
(912) 748-2280
NPI assigned
Aug 15, 2025
Last updated
Oct 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP287857 GA Primary

Addresses

Primary practice location

1000 Towne Center Blvd BLDG 1200
Pooler, GA 31322-4129

Mailing address

1000 Towne Center Blvd
Pooler, GA 31322-4052
Phone (912) 748-2280

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251007002094 GA Practitioner - Nurse Practitioner 3971000951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Rehab Services, LLCGroup PAC ID 5597752063, shared by 3 NPIs, 143 clinicians

Practice addresses (Care Compare)

123 Canal St
Suite 203
Pooler, GA 31322-4104
Phone (912) 988-1283

1326 Eisenhower Dr
BLDG 2
Savannah, GA 31406-3928
Phone (912) 354-5543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP287857GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC CurrentSince Sep 20, 2025 Accepting new patients
Privia Medical Group of Georgia LLC CurrentSince Sep 20, 2025 Accepting new patients

Locations

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1000 Towne Center Blvd
Pooler, GA 31322
Phone (251) 591-4333

1000 Towne Center Blvd
Bldg 1200
Pooler, GA 31322
Phone (912) 748-2280

1326 Eisenhower Dr
Bldg 2
Savannah, GA 31406
Phone (912) 354-5543

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: teri.shoop.1@8042.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1023995750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224052",
            "telephone_number": "912-748-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD BLDG 1200",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224129",
            "telephone_number": "912-748-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOP",
        "first_name": "TERI",
        "middle_name": "ASHLEA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP287857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

Verify at the official NPI Registry.