Active NPI
Terri Morton Acker
- Family Medicine Physician
- Decatur, GA
National Provider Identifier
1396898144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 047791
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317910 | Other | GA | WELLCARE |
| 000778016C | Medicaid | GA | |
| P00231885 | Other | GA | MEDICARE RAILROAD |
| 000778016C | Other | GA | PEACHSTATE |
| 610247700 | Other | GA | WORKER COMP |
| 10046542 | Other | GA | AMERIGROUP |
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 047791 | GA | MD | Aerospace Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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
- 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.
-
- Primary Care Clinic/Center
- Decatur, GA
- NPI 1942352778
-
- Family Medicine Physician
- Decatur, GA
- NPI 1235343088
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.