Individual provider Active NPI

Teresa Salmeron, FNP-C

  • Family Nurse Practitioner
  • Thomasville, GA
National Provider Identifier
1083158711
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN222926 Issued in GA
Practice address
100 S Madison St
Thomasville, GA 31792-5473
Phone
(229) 236-0831
NPI assigned
Dec 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 RN222926 GA Primary

Addresses

Primary practice location

100 S Madison St
Thomasville, GA 31792-5473

Mailing address

205 Dove Drake Dr
Richmond Hill, GA 31324-4680
Phone (912) 256-3414

Other practice location 1

340 Hodgson Ct
Ste 4
Savannah, GA 31406-1520
Phone (912) 657-4217

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
I20171017003776 GA Practitioner - Nurse Practitioner 9739455866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN222926GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Jul 21, 2020 Accepting new patients
Wills Memorial Emergency Medical Services, LLC Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083158711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 DOVE DRAKE DR",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313244680",
            "telephone_number": "912-256-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MADISON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925473",
            "telephone_number": "229-236-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Hodgson Ct",
            "address_2": "Ste 4",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314061520",
            "country_code": "US",
            "telephone_number": "912-657-4217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALMERON",
        "first_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN222926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.