Individual provider Active NPI

Terese Truax

  • Family Nurse Practitioner
  • Jesup, GA
National Provider Identifier
1194272229
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN173035 Issued in GA
Practice address
244 Peachtree St Ste a
Jesup, GA 31545-0212
Phone
(912) 545-9398
Fax
(125) 592-0839
NPI assigned
Sep 7, 2016
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN173035 GA Primary

Addresses

Primary practice location

244 Peachtree St Ste a
Jesup, GA 31545-0212

Mailing address

PO Box 1520
Hinesville, GA 31310-8520
Phone (912) 545-9398

Other practice location 1

213 N McDonald St Ste A&b
Ludowici, GA 31316
Phone (912) 545-9398

Other practice location 2

303 Fraser Dr
Hinesville, GA 31313
Phone (912) 877-2227

Other practice location 3

502 E General Stewart Way Ste A
Hinesville, GA 31313-2643
Phone (912) 368-1959

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
I20161220000205 GA Practitioner - Nurse Practitioner 5597046128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Professional Ctr Dr
Brunswick, GA 31525

106 Shoppers Way
Suite 1
Brunswick, GA 31525-0511
Phone (912) 275-8208

106 Shoppers Way
Suite 114
Brunswick, GA 31525-0522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN173035GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Jan 17, 2023 Accepting new patients
Coastal Community Health Services Inc CurrentSince Jan 17, 2023 Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Coastal Community Health Services, Inc. Past Accepting new patients
Diversity Health Center Inc Past Accepting new patients
Coastal Community Health Services Inc Past Accepting new patients

Locations

100 Professional Center Dr
Brunswick, GA 31525

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-1626

2747 4th St
Brunswick, GA 31520
Phone (912) 262-2347

1022 Miller Ln SW
Darien, GA 31305
Phone (912) 257-8028

1102 Ca Devillars Rd
Darien, GA 31305
Phone (912) 205-3457

10804 Highway 82
Nahunta, GA 31553
Phone (912) 342-7281

2321 Pooler Pkwy
Ste 107
Pooler, GA 31322
Phone (912) 303-7149

10055 Ford Ave
Ste 4A
Richmond Hill, GA 31324
Phone (912) 527-5352

202 Lakeshore Dr
Saint Marys, GA 31558
Phone (912) 534-3085

1299 Highway 57
Townsend, GA 31331
Phone (912) 574-5277

21300 Highway 82
Waynesville, GA 31566

308 Bedell Ave
Woodbine, GA 31569
Phone (912) 576-5506

Interoperability endpoints

  • Direct secure messaging: terese.truax@cchs.gadirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1194272229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1520",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313108520",
            "telephone_number": "912-545-9398",
            "fax_number": "912-545-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 PEACHTREE ST STE A",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450212",
            "telephone_number": "912-545-9398",
            "fax_number": "125-592-0839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "213 N McDonald St Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Ludowici",
            "state": "GA",
            "postal_code": "31316",
            "country_code": "US",
            "telephone_number": "912-545-9398",
            "fax_number": "912-545-2747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Fraser Dr",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "31313",
            "country_code": "US",
            "telephone_number": "912-877-2227",
            "fax_number": "912-877-2332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 E General Stewart Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Hinesville",
            "state": "GA",
            "postal_code": "313132643",
            "country_code": "US",
            "telephone_number": "912-368-1959",
            "fax_number": "912-368-1966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUAX",
        "first_name": "TERESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN173035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.