Terese Truax
Individual provider Active NPI Family Nurse Practitioner · Jesup, GA
NPI 1194272229 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1194272229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN173035 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coastal Community Health Services Inc
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161220000205 | GA | Practitioner - Nurse Practitioner | 5597046128 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
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 | |
| Diversity Health Center 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 |
Locations
106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208
100 Professional Center Dr
Brunswick, GA 31525
1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-2006
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN173035 | GA | Yes |
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
Other providers in Jesup, GA
- Ashley Strock Thrift
- Tim'S Home Medical LLC
- Chance Stewart Tiner
- Town and Country Pharmacy
- Kevin Anthony Trankle
- Charles Thomas Tucker
- Derek William Tucker
- Heather F Tyre
- Leslie Brook Tzen
- Unihealth Solutions of North Georgia, Inc.
All providers in Jesup, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.