Individual provider Active NPI

Joyce L Terrell, ATC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Atlanta, GA
National Provider Identifier
1043985963
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
049502533 Issued in GA
Practice address
West End Well Werks, LLC
1062 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1812
Phone
(678) 471-4615
Fax
(404) 921-9233
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 049502533 GA Primary

Addresses

Primary practice location

West End Well Werks, LLC
1062 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1812

Mailing address

524 Waterford Rd NW
Atlanta, GA 30318-7145
Phone (678) 471-4615

Other practice location 1

1062 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1812
Phone (678) 471-4615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
049502533GAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West End Well Werks LLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

1062 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 758-5339

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1043985963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 WATERFORD RD NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187145",
            "telephone_number": "678-471-4615",
            "fax_number": "404-921-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WEST END WELL WERKS, LLC",
            "address_2": "1062 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101812",
            "telephone_number": "678-471-4615",
            "fax_number": "404-921-9233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1062 Ralph David Abernathy Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303101812",
            "country_code": "US",
            "telephone_number": "678-471-4615",
            "fax_number": "404-921-9233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELL",
        "first_name": "JOYCE",
        "middle_name": "L",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "GA",
            "license": "049502533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.