Individual provider Active NPI

Teneal Johnson Harris

  • Family Nurse Practitioner
  • Augusta, GA
National Provider Identifier
1740814342
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN197314 Issued in GA
Practice address
2420 Windsor Spring Rd
Augusta, GA 30906-4668
Phone
(706) 790-0661
NPI assigned
Feb 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN197314 GA
Family Nurse Practitioner 363LF0000X RN197314 GA Primary

Addresses

Primary practice location

2420 Windsor Spring Rd
Augusta, GA 30906-4668

Mailing address

102 Derringer CT
Byron, GA 31008-9550
Phone (478) 397-3514

Other practice location 1

950 Laney Walker Blvd
Augusta, GA 30901-2960
Phone (706) 721-5800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608003205 GA Practitioner - Nurse Practitioner 7517345218 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN197314GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond County Board of Health CurrentSince Mar 3, 2022 Accepting new patients
Richmond County Board of Health CurrentSince Mar 3, 2022 Accepting new patients

Locations

2420 Windsor Spring Rd
Augusta, GA 30906
Phone (706) 790-0661

1916 N Leg Rd
Augusta, GA 30909
Phone (706) 667-4265

950 Laney Walker Blvd
Augusta, GA 30901
Phone (706) 721-5800

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.

NPI Registry JSON

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

{
    "created_epoch": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1740814342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DERRINGER CT",
            "city": "BYRON",
            "state": "GA",
            "postal_code": "310089550",
            "telephone_number": "478-397-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 WINDSOR SPRING RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309064668",
            "telephone_number": "706-790-0661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Laney Walker Blvd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012960",
            "country_code": "US",
            "telephone_number": "706-721-5800",
            "fax_number": "706-721-5945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "TENEAL",
        "middle_name": "JOHNSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-24",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN197314",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN197314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.