Teryl K Emery, D.O

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5400 Issued in LA

Practice address

6450 Louisiana Highway 1
Innis, LA 70747-0889

Phone

(225) 492-3775

Fax

(225) 492-3782

NPI assigned

Jan 2, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: teryl.emery@shchc.directbygreenway.com

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.

• Southeast Community Health Systems

  dba Southeast Community Health Systems @ Greensburg

  • Federally Qualified Health Center (FQHC)
  • Greensburg, LA
  • NPI 1023147113
  Medicare reassignment NPD
• Southeast Community Health Systems

  dba Southeast Community Health Systems @ Albany

  • Federally Qualified Health Center (FQHC)
  • Hammond, LA
  • NPI 1366617367
  NPD
• Southeast Community Health Systems

  dba Southeast Community Health Systems @ Kentwood

  • Federally Qualified Health Center (FQHC)
  • Kentwood, LA
  • NPI 1558515676
  NPD
• Southeast Community Health Systems

  • Federally Qualified Health Center (FQHC)
  • Kentwood, LA
  • NPI 1912458639
  NPD
• Innis Community Health Center, Inc

  dba Livonia School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Livonia, LA
  • NPI 1578986006
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1508923418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "city": "INNIS",
            "state": "LA",
            "postal_code": "707470889",
            "telephone_number": "225-492-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 LOUISIANA HIGHWAY 1",
            "city": "INNIS",
            "state": "LA",
            "postal_code": "707470889",
            "telephone_number": "225-492-3775",
            "fax_number": "225-492-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERY",
        "first_name": "TERYL",
        "middle_name": "K",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185400",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence C Carter, M.D.
• Rochelle Bossier Chapman, LCSW
• Ahlecia Nicole Haney, F.N.P
• Innis Pharmacy LLC
• John Lindsly, DDS
• Emily F Little
• Jessica Spears

• General Practice Dentistry in Innis, LA
• Providers in Innis, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.