Active NPI
Terry E. Ham, MD
- Internal Medicine Physician
- Perry, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 048422
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00917364A | Medicaid | GA |
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
Enrollment records 1
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
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
- Amedisys Home Health of Macon
- Adoration Home Health
- Emory Houston Hospital Warner Robins
- Northside Hospital
- Coliseum Medical Centers, LLC, Dba
- Atrium Health Navicent Peach
- Bleckley Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Hospitals Inc | Current | Accepting new patients | |
| Houston Hospitals Inc | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, PC | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| 24 On Physicians, P.C. | Current | Accepting new patients | |
| Personal Recovery Network LLC | Past | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/CICBAA
- 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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Hospitalist Physician
- Rome, GA
- NPI 1912956251
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
- Hospitalist Physician
- Attleboro, MA
- NPI 1790104511
-
- Psychiatry Physician
- Stockbridge, GA
- NPI 1881990869
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Macon, GA
- NPI 1356399018
-
- Critical Access Hospital
- Cochran, GA
- NPI 1578637526
-
- Home Health Agency
- Macon, GA
- NPI 1972762599
-
- General Acute Care Hospital
- Macon, GA
- NPI 1598719643
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- Home Health Agency
- Milledgeville, GA
- NPI 1962139675
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- Critical Access Hospital
- Byron, GA
- NPI 1114923406
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.