Individual provider Active NPI

Terri Morton Acker

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1396898144
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047791 Issued in GA
Practice address
3546 Covington Hwy
Suite C
Decatur, GA 30032-1823
Phone
(404) 284-7744
Fax
(404) 284-8006
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 047791 GA Primary

Addresses

Primary practice location

3546 Covington Hwy
Suite C
Decatur, GA 30032-1823

Mailing address

3546 Covington Hwy
Suite C
Decatur, GA 30032-1823
Phone (404) 284-7744

Other identifiers 6

IdentifierTypeStateIssuer
317910OtherGAWELLCARE
000778016CMedicaidGA
P00231885OtherGAMEDICARE RAILROAD
000778016COtherGAPEACHSTATE
610247700OtherGAWORKER COMP
10046542OtherGAAMERIGROUP

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
I20040804000300 GA Practitioner - Family Practice 1153301957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Morehouse School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

495 Winn Way
Decatur, GA 30030-1709

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047791GAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Omolara Kuteyi MD, Inc Family Medicine Current Accepting new patients

Locations

495 Winn Way
Ste 100
Decatur, GA 30030
Phone (404) 284-7744

3546 Covington Hwy
Ste C
Decatur, GA 30032
Phone (404) 284-7744

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDDHBA/Endpoint/EDDHBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1396898144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3546 COVINGTON HWY",
            "address_2": "SUITE C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321823",
            "telephone_number": "404-284-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3546 COVINGTON HWY",
            "address_2": "SUITE C",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321823",
            "telephone_number": "404-284-7744",
            "fax_number": "404-284-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTON ACKER",
        "first_name": "TERRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "047791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "317910",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000778016C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00231885",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEACHSTATE",
            "identifier": "000778016C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER COMP",
            "identifier": "610247700",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10046542",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.