Individual provider Active NPI

Tera Chrishane Mahone, NP

  • Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1093387342
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5020333 Issued in NC
Practice address
3922 W Market St
Greensboro, NC 27407-1304
Phone
(336) 252-3993
Fax
(855) 308-2340
NPI assigned
Jul 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5020333 NC Primary

Addresses

Primary practice location

3922 W Market St
Greensboro, NC 27407-1304

Mailing address

PO Box 360
Sylva, NC 28779-0360
Phone (888) 339-6065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211202000701 TN Practitioner - Nurse Practitioner 0941690150 Reassigns benefits to 1 organization
I20250305002757 NC Practitioner - Nurse Practitioner 0941690150 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5020333NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy Turbett MD PC Nurse Practitioner CurrentSince Jan 23, 2025 Accepting new patients
Post Acute Rehabilitation Physicians LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

211 Milton Brown Heirs Rd
Boone, NC 28607
Phone (828) 264-6720

1900 W 1st St
Winston Salem, NC 27104
Phone (336) 420-9045

3300 N Broadway St
Knoxville, TN 37917
Phone (865) 686-7300

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": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1093387342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287790360",
            "telephone_number": "888-339-6065",
            "fax_number": "828-538-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3922 W MARKET ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071304",
            "telephone_number": "336-252-3993",
            "fax_number": "855-308-2340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONE",
        "first_name": "TERA",
        "middle_name": "CHRISHANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.