Active NPI
Teresa Joyce Trippe, M.D.
- Pediatrics Physician
- Macon, GA
National Provider Identifier
1144354010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 23120
- Practice address
- 145 Northcrest Boulevard
Macon, GA 31210 - Phone
- (478) 743-4632
- Fax
- (478) 330-5064
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 23120 | GA | Primary |
Addresses
Primary practice location
145 Northcrest Boulevard
Macon, GA 31210
Mailing address
145 Northcrest Boulevard
Macon, GA 31210
Phone (478) 743-4632
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1200047 | Other | GA | UNITED HEALTH CARE |
| 617897 | Other | GA | BLUE CROSS BLUE SHIELD |
| 12001 | Other | GA | CIGNA |
| 345626 | Other | GA | WELLCARE |
| TRI001 | Other | GA | SECURE HEALTH |
| 000224518A | Medicaid | GA | |
| 00224518A | Medicaid | GA | |
| 4412624 | Other | GA | AETNA |
| 582347423 | Other | GA | COVENTRY HEALTH CARE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23120 | GA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301270400000",
"number": "1144354010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 NORTHCREST BOULEVARD",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "478-743-4632",
"fax_number": "478-330-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 NORTHCREST BOULEVARD",
"city": "MACON",
"state": "GA",
"postal_code": "31210",
"telephone_number": "478-743-4632",
"fax_number": "478-330-5064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPPE",
"first_name": "TERESA",
"middle_name": "JOYCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2011-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "23120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1200047",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "617897",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "12001",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "345626",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SECURE HEALTH",
"identifier": "TRI001",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000224518A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00224518A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4412624",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTH CARE",
"identifier": "582347423",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.