Jeffrey C Terry, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

47165 Issued in GA

Practice address

1240 Jesse Jewell Pkwy SE
Ste 500
Gainesville, GA 30501-3861

Phone

(770) 536-9864

Fax

(770) 297-5011

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Medical University of South Carolina College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Georgia Diagnostic Associates and Clinic, LLCGroup PAC ID 1951655737, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeast Georgia Home Health Home health agency, Gainesville, GA, CCN 117156
• Pruitthealth Hospice-Gainesville Hospice, Gainesville, GA, CCN 111579
• Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
• Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005
• Willowbrooke Court at Lanier Village Estates Nursing home, Gainesville, GA, CCN 115687

Merit-based Incentive Payment System (MIPS)

Final score

78.26 of 100Reported as group

Quality

71.9

Promoting interoperability

75

Improvement activities

40

Cost

76.47

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeffreyterry@negaidx.allscriptsdirect.net

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Northeast Georgia Medical Center, Inc.

  • Skilled Nursing Facility
  • Gainesville, GA
  • NPI 1407892706

  Corporate Director

  CMS ownership
• Northeast Georgia Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Gainesville, GA
  • NPI 1437185261

  Corporate Director

  CMS ownership
• Northeast Georgia Medical Center, Inc.

  • Skilled Nursing Facility
  • Gainesville, GA
  • NPI 1649208927

  Corporate Director

  CMS ownership
• Northeast Georgia Medical Center., Inc.

  • Community Based Hospice Care Agency
  • Gainesville, GA
  • NPI 1457388571

  Corporate Director

  CMS ownership

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.

• Northeast Georgia Diagnostic Associates and Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Gainesville, GA
  • NPI 1144719311
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acts Retirement-Life Communities, Inc.

  • Skilled Nursing Facility
  • Gainesville, GA
  • NPI 1528000825

  Nursing home

  Care Compare affiliation
• LHCG Clxi, LLC

  • Home Health Agency
  • Gainesville, GA
  • NPI 1013534171
  Care Compare affiliation
• Northeast Georgia Medical Center, Inc.

  • General Acute Care Hospital
  • Gainesville, GA
  • NPI 1427055821
  Care Compare affiliation
• Northside Hospital, Inc.

  • General Acute Care Hospital
  • Cumming, GA
  • NPI 1376574277
  Care Compare affiliation
• Pruitthealth Hospice, Inc.

  • Community Based Hospice Care Agency
  • Gainesville, GA
  • NPI 1154369171
  Care Compare affiliation

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1124021761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE",
            "address_2": "SUITE 500",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013862",
            "telephone_number": "770-536-9864",
            "fax_number": "770-297-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 JESSE JEWELL PKWY SE",
            "address_2": "STE 500",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013861",
            "telephone_number": "770-536-9864",
            "fax_number": "770-297-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "47165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.