Active NPI
Teresa Gale Oldham Snider, NP
- Family Nurse Practitioner
- Loganville, GA
National Provider Identifier
1508816505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN073598
- Practice address
- 4398 Atlanta Hwy
Loganville, GA 30052-7314 - Phone
- (678) 732-1500
- NPI assigned
- May 11, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN073598 | GA | |
| Family Nurse Practitioner | 363LF0000X | RN073598 | GA | Primary |
Addresses
Primary practice location
4398 Atlanta Hwy
Loganville, GA 30052-7314
Mailing address
1583 Fieldgreen Trce
Stone Mountain, GA 30088-3720
Phone (770) 981-5894
Other practice location 1
270 Walmart Way
Dahlonega, GA 30533-0824
Phone (706) 864-7093
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Emory University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4398 Atlanta Hwy
Loganville, GA 30052-7314
Phone (678) 732-1519
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Past | Accepting new patients |
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.
-
- Nephrology Physician
- Stockbridge, GA
- NPI 1104088905
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1508816505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1583 FIELDGREEN TRCE",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300883720",
"telephone_number": "770-981-5894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4398 ATLANTA HWY",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300527314",
"telephone_number": "678-732-1500"
}
],
"practiceLocations": [
{
"address_1": "270 Walmart Way",
"address_purpose": "LOCATION",
"city": "Dahlonega",
"state": "GA",
"postal_code": "305330824",
"country_code": "US",
"telephone_number": "706-864-7093",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNIDER",
"first_name": "TERESA",
"middle_name": "GALE OLDHAM",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-11",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN073598",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN073598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.