Individual provider Active NPI

Terrica Wilson Harris, CRNA (STUDENT)

  • Certified Registered Nurse Anesthetist
  • Fayetteville, GA
National Provider Identifier
1326533415
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN227261 Issued in GA
Practice address
1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone
(770) 719-7000
NPI assigned
Jun 29, 2018
Last updated
Jun 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN227261 GA Primary

Addresses

Primary practice location

1255 Highway 54 W
Fayetteville, GA 30214-4526

Mailing address

3615 Talonega TRL
Ellenwood, GA 30294-1179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181130001098 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406190602 Reassigns benefits to 10 organizations
I20260311003334 AL Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406190602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Wake Forest University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC-West Georgia Anesthesia Associates Inc.Group PAC ID 2365456308, 67 clinicians

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

705 Dixie St
Carrollton, GA 30117-3818
Phone (800) 232-5703

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3050
Phone (404) 616-8880

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN227261GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 19, 2021 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Feb 1, 2026 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Aug 19, 2020 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2021 Accepting new patients
Greater Atlanta Anesthesia, LLC CurrentSince Jun 1, 2021 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2021 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Aug 19, 2020 Accepting new patients
Piedmont Anesthesia Associates, L.L.C CurrentSince Nov 20, 2018 Accepting new patients
TMC-West Georgia Anesthesia Associates Inc. Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2022 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Dec 30, 2021 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2021 Accepting new patients
Digestive Healthcare of Ga, P.C. PastSince Jun 1, 2021 Accepting new patients

Locations (25 of 28)

619 19th St S
Birmingham, AL 35249

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

95 Collier Rd NW
Ste 4075
Atlanta, GA 30309
Phone (404) 355-2200

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (678) 817-6550

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

134 Mountainside Village Pkwy
Bldg 500
Jasper, GA 30143
Phone (706) 253-7340

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1326533415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 TALONEGA TRL",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302941179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 HIGHWAY 54 W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144526",
            "telephone_number": "770-719-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TERRICA",
        "middle_name": "WILSON",
        "credential": "CRNA (STUDENT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN227261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.