Individual provider Active NPI

Terry E. Ham, MD

  • Internal Medicine Physician
  • Perry, GA
National Provider Identifier
1306891650
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
048422 Issued in GA
Practice address
1023 Keith Dr
Perry, GA 31069-2948
Phone
(478) 988-1100
Fax
(478) 988-8211
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 048422 GA Primary

Addresses

Primary practice location

1023 Keith Dr
Perry, GA 31069-2948

Mailing address

1023 Keith Dr
Perry, GA 31069-2948
Phone (478) 988-1100

Other identifiers 1

IdentifierTypeStateIssuer
00917364AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000081 GA Practitioner - Internal Medicine 5092764761 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
  • Adoration Home Health Home health agency, Macon, GA, CCN 117135
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310
  • Bleckley Memorial Hospital Hospital, Cochran, GA, CCN 111302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Hospitals Inc CurrentSince Sep 5, 2009 Accepting new patients
Houston Hospitals Inc CurrentSince Sep 5, 2009 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Oct 16, 2021 Accepting new patients
24 On Physicians, PC CurrentSince Jul 27, 2018 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Oct 16, 2021 Accepting new patients
24 On Physicians, P.C. CurrentSince Jul 27, 2018 Accepting new patients
Personal Recovery Network LLC PastSince Aug 13, 2019 Accepting new patients

Locations

13000 Deerfield Pkwy
Ste 100
Alpharetta, GA 30004

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

1019 Keith Dr
Ste A
Perry, GA 31069
Phone (478) 987-2556

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

1019 Keith Dr
Ste Ab
Perry, GA 31069
Phone (478) 988-1100

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/CICBAA
  • Direct secure messaging: terry.ham.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1306891650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 KEITH DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692948",
            "telephone_number": "478-988-1100",
            "fax_number": "478-988-8211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 KEITH DR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310692948",
            "telephone_number": "478-988-1100",
            "fax_number": "478-988-8211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAM",
        "first_name": "TERRY",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00917364A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, GA

Sources for this page

Verify at the official NPI Registry.