Individual provider Active NPI

Terrence K Pierce, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Smyrna, GA
National Provider Identifier
1114171691
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
4015 S Cobb Dr SE Ste 220
Smyrna, GA 30080-6316
Phone
(770) 801-0980
Fax
(770) 801-9039
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

4015 S Cobb Dr SE Ste 220
Smyrna, GA 30080-6316

Mailing address

4015 S Cobb Dr SE Ste 220
Smyrna, GA 30080-6316
Phone (770) 801-0980

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

NPI Registry JSON

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1114171691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806316",
            "telephone_number": "770-801-0980",
            "fax_number": "770-801-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE STE 220",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806316",
            "telephone_number": "770-801-0980",
            "fax_number": "770-801-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "TERRENCE",
        "middle_name": "K",
        "credential": "CAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.