Tommie Terrell Jr., MPA

Primary specialty

ContractorTaxonomy code 171W00000X

License

17074583 Issued in GA

Practice address

2110 Chatham Dr
Albany, GA 31721-2112

Phone

(229) 809-7878

Fax

(229) 496-1610

NPI assigned

Jul 14, 2017

Last updated

Jul 14, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• H.E.R.O.'S Instillment Academy, LLC

  • Community/Behavioral Health Agency
  • Albany, GA
  • NPI 1942169156
  NPD Authorized official

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1033631759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 CHATHAM DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212112",
            "telephone_number": "229-809-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 CHATHAM DR",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317212112",
            "telephone_number": "229-809-7878",
            "fax_number": "229-496-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "TOMMIE",
        "name_suffix": "Jr.",
        "credential": "MPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-14",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "GA",
            "license": "17074583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makisha Taylor
• Robert Taylor III, D.M.D.
• Teemercare @ Home LLC
• Teemercare Transport Services, LLC
• Tender Care EMS LLC
• Clare Soileau Terry, C.N.M.
• Frank Maynard Thames Jr., M.D.
• Dakota Jordan Tyrus Tharpe, DMD
• The Arc of Southwest Georgia
• The Arc of Southwest Georgia

• Contractor in Albany, GA
• Providers in Albany, GA by specialty
• Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.