Individual provider Active NPI

Torre Massey, NP

  • Nurse Practitioner
  • Macon, GA
National Provider Identifier
1144570847
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
195079 Issued in GA
Practice address
101 Preston CT
Macon, GA 31210-5772
Phone
(478) 745-2385
Fax
(478) 745-1225
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 195079 GA Primary

Addresses

Primary practice location

101 Preston CT
Macon, GA 31210-5772

Mailing address

101 Preston CT
Suite 103
Macon, GA 31210-5772
Phone (478) 745-2385

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121026000407 GA Practitioner - Nurse Practitioner 5496905515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgia College of Eclectric Medicine and Surgery, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interventional Spine and Pain Management Center PC 51 clinicians

Practice addresses (Care Compare)

6002 Hwy 53 E 110
Dawsonville, GA 30534
Phone (770) 929-9033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
195079GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Interventional Spine and Pain Management Center, PC CurrentSince Jul 7, 2018 Accepting new patients
The Interventional Spine and Pain Management Center PC CurrentSince Jul 7, 2018 Accepting new patients
Georgia Heart Physicians LLC CurrentSince Sep 10, 2012 Accepting new patients
Macon Electrophysiology Associates Past Accepting new patients

Locations

1388 Wellbrook Cir NE
#A
Conyers, GA 30012
Phone (770) 385-7985

6002 Highway 53 E
Ste 110
Dawsonville, GA 30534
Phone (770) 767-1971

654 1st St
Macon, GA 31201
Phone (478) 738-9443

Interoperability endpoints

  • Direct secure messaging: torre.massey@ispm.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HHAAAA

Organizations & group practices 7

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1144570847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PRESTON CT",
            "address_2": "SUITE 103",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105772",
            "telephone_number": "478-745-2385",
            "fax_number": "478-745-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PRESTON CT",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312105772",
            "telephone_number": "478-745-2385",
            "fax_number": "478-745-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "TORRE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "195079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.