Tera Pruitt
Individual provider Active NPI Case Manager/Care Coordinator · Rex, GA
NPI 1073976007 · NPPES record last updated Mar 29, 2016
Key facts
- NPI
- 1073976007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 6191 Crooked Creek Dr
Rex, GA 30273-5008 - Phone
- (404) 574-3091
- NPI assigned
- Mar 29, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
6191 Crooked Creek Dr
Rex, GA 30273-5008
Mailing address
6191 Crooked Creek Dr
Rex, GA 30273-5008
Phone (404) 574-3091
Other providers in Rex, GA
- Never Forgotten Transportation
- Duy Phan
- Prive Home Care Network LLC
- PRN Staffers Atl
- Charles B Pruitt
- Quality Care
- Yolanda Nicole Rabb
- Rehab Wellness Works, Inc.,
- Veronica Reid
- Annicia Robison
All providers in Rex, GA · Case Manager/Care Coordinator in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.