Individual provider Active NPI

Andrea L Terry, D.O.

  • Physical Medicine & Rehabilitation Physician
  • New Bern, NC
National Provider Identifier
1174773923
Registry record updated Mar 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
NC2010-00478 Issued in NC
Practice address
2000 Neuse Blvd # C
New Bern, NC 28560-3449
Phone
(252) 633-8024
Fax
(252) 633-8994
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NC2010-00478 NC Primary

Addresses

Primary practice location

2000 Neuse Blvd # C
New Bern, NC 28560-3449

Mailing address

PO Box 896206
Charlotte, NC 28289-6206
Phone (252) 633-8024

Other identifiers 2

IdentifierTypeStateIssuer
159CHOtherNCBCBS
5915221MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100827000824 NC Practitioner - Physical Medicine and Rehabilitation 4789708728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinaeast PhysiciansGroup PAC ID 0143378117, 203 clinicians

Practice addresses (Care Compare)

137 Medical LN
Pollocksville, NC 28573-8200
Phone (252) 633-1010

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 637-9298

2604 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

2636 Dr Martin Luther King Jr Blvd
New Bern, NC 28562-4238
Phone (252) 636-1919

532 Webb Blvd
Havelock, NC 28532-2042
Phone (252) 633-2712

Hospital & facility affiliations

  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131
  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
  • Onslow Memorial Hospital Hospital, Jacksonville, NC, CCN 340042
  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Carolinaeast Rehabilitation Hospital Inpatient rehabilitation facility, New Bern, NC, CCN 34T131

Merit-based Incentive Payment System (MIPS)

Final score
72.61 of 100Reported as group
Quality
57.39
Promoting interoperability
68
Improvement activities
40
Cost
77.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NC2010-00478NCMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinaeast Physicians Physical Medicine & Rehabilitation CurrentSince Aug 18, 2012 Accepting new patients
Carolinaeast Physicians CurrentSince Aug 18, 2012 Accepting new patients
Carolinaeast Physicians Physical Medicine & Rehabilitation Current Accepting new patients
Carolinaeast Physicians Physical Medicine & Rehabilitation Past Accepting new patients

Locations

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

2000 Neuse Blvd
#C
New Bern, NC 28560
Phone (252) 633-8024

137 Medical Ln
Pollocksville, NC 28573
Phone (252) 633-1010

Organizations & group practices 4

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 6

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": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1174773923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 896206",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282896206",
            "telephone_number": "252-633-8024",
            "fax_number": "252-633-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 NEUSE BLVD # C",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285603449",
            "telephone_number": "252-633-8024",
            "fax_number": "252-633-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRY",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NC",
            "license": "NC2010-00478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "159CH",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915221",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.