Individual provider Active NPI

Teddy W Collingsworth, FNP

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1275009433
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN227420 Issued in GA
Practice address
1447 Harper St
Augusta, GA 30912-0020
Phone
(762) 375-4209
Fax
(706) 721-1794
NPI assigned
Oct 15, 2018
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 RN227420 GA Primary

Addresses

Primary practice location

1447 Harper St
Augusta, GA 30912-0020

Mailing address

1447 Harper St
Augusta, GA 30912-0004
Phone (706) 721-2741

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-2741

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcollingsworth622172@directwellstar.org

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
I20190201002705 GA Practitioner - Nurse Practitioner 6002895133 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.48 of 100Reported as group
Quality
56.49
Promoting interoperability
100
Improvement activities
40
Cost
75.11

Merit-based Incentive Payment System (MIPS)

Final score
82.47 of 100Reported as group
Quality
41.03
Promoting interoperability
97
Improvement activities
40
Cost
98.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Augusta PA CurrentSince Nov 1, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 15, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Orthopaedic Associates of Augusta P a CurrentSince Nov 1, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince May 15, 2025 Accepting new patients
Au Medical Associates Inc PastSince Sep 28, 2025 Accepting new patients
Au Medical Associates Inc Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
Ste BI1056
Augusta, GA 30912
Phone (706) 721-2785

1220 W Wheeler Pkwy
Augusta, GA 30909
Phone (706) 721-2741

811 13th St
Ste 20
Augusta, GA 30901
Phone (706) 722-3401

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17761/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tcollingsworth622172@directwellstar.org

Organizations & group practices 7

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": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1275009433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1447 HARPER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-2741",
            "fax_number": "706-721-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1447 HARPER ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120020",
            "telephone_number": "762-375-4209",
            "fax_number": "706-721-1794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-2741",
            "fax_number": "706-721-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINGSWORTH",
        "first_name": "TEDDY",
        "middle_name": "W",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-15",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcollingsworth622172@directwellstar.org",
            "affiliation": "N",
            "address_1": "1447 Harper St",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309120020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.