NPIMap

Individual provider Active NPI

Calvin Morgan Terrelonge, M.D.

  • Family Medicine Physician
  • Bethlehem, GA
National Provider Identifier
1124236187
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
062357 Issued in GA
Practice address
426 Exchange Blvd Ste 600
Bethlehem, GA 30620-1794
Phone
(770) 868-5186
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 062357 GA
Family Medicine Physician 207Q00000X 062357 GA Primary

Addresses

Primary practice location

426 Exchange Blvd Ste 600
Bethlehem, GA 30620-1794

Mailing address

PO Box 742616
Atlanta, GA 30374-2616
Phone (770) 791-0167

Other practice location 1

916 Loganville Hwy
Suite 350
Bethlehem, GA 30620-2144
Phone (770) 791-0167

Other identifiers 3

IdentifierTypeStateIssuer
001514314BMedicaidGA
001514314DMedicaidGA
001514314CMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cterrelonge29529@nghs.gadirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000424 GA Practitioner - Family PracticePractitioner - Geriatric Medicine 8820142656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northeast Georgia Physicians Group IncGroup PAC ID 6901898386, 884 clinicians

Practice addresses (Care Compare)

597 S Enota Dr NE
Gainesville, GA 30501-2545
Phone (770) 219-7777

990 Loganville Hwy 202
Bethlehem, GA 30620-2116
Phone (770) 219-9200

PO Box
Suite 1060
Oakwood, GA 30566-0018

Hospital & facility affiliations

  • Central Home Health Care, an Amedisys Company Home health agency, Tucker, GA, CCN 117026
  • Pruitthealth at Home - Atlanta Home health agency, Norcross, GA, CCN 117118
  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045

Merit-based Incentive Payment System (MIPS)

Final score
87.83 of 100Reported as group
Quality
80.36
Promoting interoperability
100
Improvement activities
40
Cost
79.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Georgia Physicians Group Inc Family Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

426 Exchange Blvd
Ste 600
Bethlehem, GA 30620
Phone (470) 429-5285

916 Loganville Hwy
Ste 350
Bethlehem, GA 30620
Phone (770) 791-0167

597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275

314 N Broad St
Ste 240
Winder, GA 30680
Phone (770) 307-4762

Interoperability endpoints

  • Direct secure messaging: cterrelonge29529@nghs.gadirect.net

Organizations & group practices 1

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1124236187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 742616",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303742616",
            "telephone_number": "770-791-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EXCHANGE BLVD STE 600",
            "city": "BETHLEHEM",
            "state": "GA",
            "postal_code": "306201794",
            "telephone_number": "770-868-5186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "916 Loganville Hwy",
            "address_2": "Suite 350",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "GA",
            "postal_code": "306202144",
            "country_code": "US",
            "telephone_number": "770-791-0167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TERRELONGE",
        "first_name": "CALVIN",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "062357",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "062357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001514314B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001514314D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001514314C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cterrelonge29529@nghs.gadirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "426 Exchange Blvd Ste 600",
            "city": "Bethlehem",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306201794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethlehem, GA

Sources for this page

Verify at the official NPI Registry.