Active NPI
Terese Truax
- Family Nurse Practitioner
- Jesup, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN173035
- 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, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN173035 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Community Health Services, Inc. | Current | Accepting new patients | |
| Coastal Community Health Services Inc | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1609298751
-
dba Coastal Community Health County Clinic
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1063282937
-
- Federally Qualified Health Center (FQHC)
- Brunswick, GA
- NPI 1972223162
-
dba Coastal Community Health - Waynesville
- Federally Qualified Health Center (FQHC)
- Waynesville, GA
- NPI 1134999006
-
dba Coastal Community Health - Woodbine
- Federally Qualified Health Center (FQHC)
- Woodbine, GA
- NPI 1225808199
-
- Federally Qualified Health Center (FQHC)
- Darien, GA
- NPI 1235834045
-
- Federally Qualified Health Center (FQHC)
- Townsend, GA
- NPI 1417663147
-
dba Coastal Community Health - Todd Grant Elementary
- Federally Qualified Health Center (FQHC)
- Darien, GA
- NPI 1568242824
-
- Federally Qualified Health Center (FQHC)
- Richmond Hill, GA
- NPI 1821779570
-
dba Coastal Community Health - Pooler
- Federally Qualified Health Center (FQHC)
- Pooler, GA
- NPI 1871350090
-
- Federally Qualified Health Center (FQHC)
- Ludowici, GA
- NPI 1952584708
-
- Federally Qualified Health Center (FQHC)
- Fernandina Beach, FL
- NPI 1851131874
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.