Individual provider Active NPI

Tameka Denise Terry, APRN

  • Family Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1114685161
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11016840 Issued in FL
Practice address
6501 Arlington Expy Ste B105
Jacksonville, FL 32211-0810
Phone
(904) 474-3996
Fax
(904) 877-3368
NPI assigned
Dec 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11016840 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11016840 FL

Addresses

Primary practice location

6501 Arlington Expy Ste B105
Jacksonville, FL 32211-0810

Mailing address

6501 Arlington Expy Ste B105
Jacksonville, FL 32211-0810
Phone (904) 474-3996

Other practice location 1

1740 Edgewood Ave W
Jacksonville, FL 32208-3260
Phone (904) 269-2437

Other practice location 2

4348 Southpoint Blvd
Jacksonville, FL 32216-0986
Phone (904) 281-1915

Other identifiers 1

IdentifierTypeStateIssuer
PA052OtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220510001996 FL Practitioner - Nurse Practitioner 0446637516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maras Lighthouse Counseling Center LLCGroup PAC ID 1759724206, 4 clinicians

Practice addresses (Care Compare)

12086 Fort Caroline Rd
Suite 201
Jacksonville, FL 32225-2689
Phone (904) 990-8105

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Physician Group LLC CurrentSince May 30, 2022 Accepting new patients
Harmonycares Complete Health Services, PLLC CurrentSince Oct 2, 2025 Accepting new patients
Mara'S Lighthouse Counseling Center, LLC CurrentSince Oct 6, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince May 30, 2022 Accepting new patients
Rmed LLC CurrentSince Mar 1, 2025 Accepting new patients
Rmed LLC CurrentSince Mar 1, 2025 Accepting new patients
Universal Family Care, LLC Family PastSince Jan 19, 2025 Accepting new patients
Universal Family Wellness Care Center, Inc. Family PastSince Mar 11, 2025 Accepting new patients

Locations

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

6531 103rd St
Jacksonville, FL 32210
Phone (904) 772-2727

7451 103rd St
Ste 8
Jacksonville, FL 32210
Phone (904) 683-4968

12086 Fort Caroline Rd
Ste 201
Jacksonville, FL 32225
Phone (904) 990-5105

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ec6b7097-8351-4185-ba79-b9f0c80b045f/

Organizations & group practices 8

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": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1114685161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 ARLINGTON EXPY STE B105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322110810",
            "telephone_number": "904-474-3996",
            "fax_number": "904-877-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 ARLINGTON EXPY STE B105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322110810",
            "telephone_number": "904-474-3996",
            "fax_number": "904-877-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Edgewood Ave W",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322083260",
            "country_code": "US",
            "telephone_number": "904-269-2437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4348 Southpoint Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322160986",
            "country_code": "US",
            "telephone_number": "904-281-1915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRY",
        "first_name": "TAMEKA",
        "middle_name": "DENISE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11016840",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11016840",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PA052",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.