Individual provider Active NPI

Teresa Ann Novak, N.P.

  • Family Nurse Practitioner
  • La Fayette, GA
National Provider Identifier
1487955241
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
123906 Issued in GA
Practice address
106 Pearl Dr Ste 107
La Fayette, GA 30728-7510
Phone
(706) 400-6707
Fax
(706) 400-6491
NPI assigned
Nov 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 123906 GA Primary
Family Nurse Practitioner 363LF0000X 15316 TN

Addresses

Primary practice location

106 Pearl Dr Ste 107
La Fayette, GA 30728-7510

Mailing address

106 Pearl Dr Ste 107
La Fayette, GA 30728-7510
Phone (706) 400-6707

Other identifiers 1

IdentifierTypeStateIssuer
1525310MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111018000817 TN Practitioner - Nurse Practitioner 2062684905 Reassigns benefits to 1 organization
I20160315001926 GA Practitioner - Nurse Practitioner 2062684905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Family Medical Associates of Georgia, LLCGroup PAC ID 3870940448, 9 clinicians

Practice addresses (Care Compare)

106 Pearl Dr
Suite 107
La Fayette, GA 30728-7510
Phone (706) 670-1050

3257 Chattanooga Valley Rd
Flintstone, GA 30725-2387
Phone (706) 841-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
15316TNMDDiagnostic Radiology Physician
123906GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Valley Wellness & Primary Care, LLC CurrentSince Oct 20, 2025 Accepting new patients
National Family Medical Associates of Georgia, LLC CurrentSince Jun 3, 2024 Accepting new patients
Northgate Neurology, PLLC CurrentSince Jun 12, 2020 Accepting new patients
Weaver Health Services, LLC Family CurrentSince May 13, 2024 Accepting new patients
Florida Medical Associates LLC Past Accepting new patients

Locations

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

3257 Chattanooga Valley Rd
Flintstone, GA 30725
Phone (706) 841-7700

5610 Wendy Bagwell Pkwy
Ste 103
Hiram, GA 30141
Phone (770) 943-7808

106 Pearl Dr
Ste 107
La Fayette, GA 30728
Phone (706) 639-1719

7566 Nashville St
Ringgold, GA 30736
Phone (706) 935-3600

2051 Hamill Rd
Ste 302
Hixson, TN 37343
Phone (423) 877-1212

2051 Hamill Rd
Ste 301
Hixson, TN 37343
Phone (423) 870-3376

73 White Bridge Pike
Ste 103243
Nashville, TN 37205

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1487955241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PEARL DR STE 107",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307287510",
            "telephone_number": "706-400-6707",
            "fax_number": "706-400-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PEARL DR STE 107",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307287510",
            "telephone_number": "706-400-6707",
            "fax_number": "706-400-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-10",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "123906",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "15316",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525310",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Fayette, GA

Sources for this page

Verify at the official NPI Registry.