Terri Lynn Ledoux, AGACNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN227849 Issued in GA

Practice address

6572 River Park Dr Ste 101
Riverdale, GA 30274-2214

Phone

(770) 669-9966

NPI assigned

Jan 18, 2018

Last updated

May 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, SC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Chatham Hosptialists, LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1336290667
  Medicare reassignment NPD
• Hilton Head Regional Physician Group LLC

  • Internal Medicine Physician
  • Bluffton, SC
  • NPI 1548021694
  Medicare reassignment NPD
• Southeastern Hospitalist Services PC

  • Hospitalist Physician
  • Myrtle Beach, SC
  • NPI 1003280108

  Nurse Practitioner

  Medicare reassignment NPD
• SMH Innovations LLC

  • Internal Medicine Physician
  • Savannah, GA
  • NPI 1689529901
  Medicare reassignment
• Hilton Head Regional Physician Group LLC

  dba Wound Healing Center

  • Surgery Physician
  • Bluffton, SC
  • NPI 1295596708
  NPD
• Pulmonary & Sleep Medicine Associates, LLP

  • Specialist
  • Stockbridge, GA
  • NPI 1720009244
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1700394269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15489",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314162189",
            "telephone_number": "912-819-5999",
            "fax_number": "912-819-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6572 RIVER PARK DR STE 101",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742214",
            "telephone_number": "770-669-9966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Old Norton Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "GA",
            "postal_code": "302154873",
            "country_code": "US",
            "telephone_number": "770-692-9501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Eagles Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815011",
            "country_code": "US",
            "telephone_number": "770-506-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDOUX",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN227849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Late Madje Lawson-Body, RPH
• Shalette Lawton, LPC
• Tamara Leach
• Jackman Louis Leblanc Jr.
• Shawn Ledford, CRNA
• Charnise Lashae Lee
• Moo Hee Lee, MD
• Legacy Brain & Spine LLC (Legacy Brain & Spine LLC - Riverdale)
• Legacy Center for Spinal Surgery- Riverdale LLC
• Legacy Primary Care and Wellness

• Nurse Practitioner in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.