Individual provider Active NPI

Sandra Renee Terry, FNP

  • Family Nurse Practitioner
  • Rocky Mount, NC
National Provider Identifier
1164186169
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015413 Issued in NC
Practice address
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2298
Phone
(252) 962-8000
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X 160569 NC
Family Nurse Practitioner 363LF0000X 5015413 NC Primary

Addresses

Primary practice location

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2298

Mailing address

2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2298
Phone (252) 904-9523

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sandra.terry@unchealth.unc.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220223002503 NC Practitioner - Nurse Practitioner 4082008735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centennial Housing and Community Services CorporationGroup PAC ID 3779993837, 14 clinicians

Practice addresses (Care Compare)

958 US Hwy 64 E
Plymouth, NC 27962-9216
Phone (252) 793-4135

Hospital & facility affiliations

  • Washington County Hosp Inc Hospital, Plymouth, NC, CCN 341314

Merit-based Incentive Payment System (MIPS)

Final score
86.47 of 100Reported as group
Quality
62.03
Promoting interoperability
99
Improvement activities
40
Cost
78.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
160569NCMDOncology Registered Nurse
5015413NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centennial Housing & Community Services Corporation CurrentSince Aug 27, 2025 Accepting new patients
NHCS Physicians Inc CurrentSince Jan 1, 2022 Accepting new patients
Centennial Housing & Community Services Corporation CurrentSince Aug 27, 2025 Accepting new patients

Locations

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

958 US Highway 64 E
Plymouth, NC 27962
Phone (252) 793-3523

2460 Curtis Ellis Dr
Bldg 100
Rocky Mount, NC 27804
Phone (252) 962-2328

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

Organizations & group practices 3

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 1

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1164186169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 CURTIS ELLIS DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042298",
            "telephone_number": "252-904-9523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CURTIS ELLIS DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042298",
            "telephone_number": "252-962-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "SANDRA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Oncology",
            "state": "NC",
            "license": "160569",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandra.terry@unchealth.unc.edu",
            "affiliation": "N",
            "address_1": "2460 Curtis Ellis Dr",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042298",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.