Hampton Tedder

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

19117787 Issued in GA

Practice address

3928 Landmark Dr
Douglasville, GA 30135-1290

Phone

(334) 524-6589

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By 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

Other identifiers 1

Other names 1

• Hampton Tedder Professional name

Electronic endpoints 1

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.

• Tedder Medical LLC

  • Durable Medical Equipment & Medical Supplies
  • Douglasville, GA
  • NPI 1548804040
  NPD Authorized official

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1053952226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 LANDMARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351290",
            "telephone_number": "334-524-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 LANDMARK DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351290",
            "telephone_number": "334-524-6589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDDER",
        "first_name": "HAMPTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "19117787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE, BLUECROSSBLUESHIELD, AMBETTER, HUMANA, AETNA, WELLCARE, CIGNA,",
            "identifier": "2310C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "teddermedical@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3928 Landmark Dr",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301351290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HAMPTON",
            "last_name": "TEDDER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Monica Felicia Taylor, PHARMD
• Rachel Cohen Taylor, MD
• TC Medicals LLC
• Eleth P. Teape, R.N.
• Tedder Medical LLC
• Stephen D Tedder, M.D.
• Camilla Terrell
• Mark Anthony Terry, PHARM. D.
• Prashanth Thalanayar Muthukrishnan, MD
• The Atlatna Cardiology Group, PC (ACG Douglasville)

• Case Manager/Care Coordinator in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.