Terry Anthony Hackworth, MSN/MBA, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN143003 Issued in GA

Practice address

2140 Peachtree Rd NW Ste 232
Atlanta, GA 30309

Phone

(404) 231-4431

Fax

(404) 231-5677

NPI assigned

Jan 31, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Long'S Drugs of Sandersville Georgia IncGroup PAC ID 4385969609, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terry.hackworth@avc.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/ACJJCD/Endpoint/ACJJCD
• FHIR API: https://api.platform.athenahealth.com/9679/brand/1/csg/1/fhir/r4
• Direct secure messaging: terry.hackworth@abcare.gadirect.net

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.

• Long'S Drugs of Sandersville, Georgia, Inc.

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1265155774
  Medicare reassignment Care Compare group NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487
  Medicare reassignment NPD
• Longs Drugs of Sandersville Georgia Inc

  • Community/Retail Pharmacy
  • Atlanta, GA
  • NPI 1053357509
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1023537321
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD
• Pride Medical, Inc.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1275662314
  NPD
• Absolutecare, Inc

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1881011989
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1255779468
  NPD (past)

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1174895643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 PEACHTREE RD NW STE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091316",
            "telephone_number": "404-231-4431",
            "fax_number": "404-231-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 PEACHTREE RD NW STE 232",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-231-4431",
            "fax_number": "404-231-5677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 Howell Mill Rd NW",
            "address_2": "Ste 326",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303274111",
            "country_code": "US",
            "telephone_number": "404-355-3788",
            "fax_number": "404-355-6370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKWORTH",
        "first_name": "TERRY",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "MSN/MBA, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN143003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Hackett, PA-C, MPH
• Michael Patrick Hackman, D.M.D
• Christopher William Hackney, M.D.
• Daniela Alejandra Hackney
• Imani Hackshaw
• Agreen Hadadi
• Azeen Hadadi, O.D.
• Elias Haddad
• Michelle Mary Haddad, PHD
• Ramin Haddad, M.D.

• Adult Health Nurse Practitioner in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.