Teri Nelson Moak, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

97664 Issued in GA

Practice address

6045 Barfield Rd Ste 100
Sandy Springs, GA 30328-4402

Phone

(404) 250-3333

NPI assigned

Jun 16, 2015

Last updated

Mar 16, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 6, 2026 through May 6, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Grandview II Surgery Center LLC

  • Plastic Surgery Physician
  • Birmingham, AL
  • NPI 1265900500
  NPD (past)
• Schaffer Plastic Surgery

  • Plastic Surgery Physician
  • Birmingham, AL
  • NPI 1003326497
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710547200000",
    "number": "1821479734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6045 BARFIELD RD STE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6045 BARFIELD RD STE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284402",
            "telephone_number": "404-250-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAK",
        "first_name": "TERI",
        "middle_name": "NELSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MO",
            "license": "2015017254",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "97664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Minetola, DPM
• Mishele Walker LLC (Mishele Walker Counseling)
• Alana Michelle Mitchell, LCSW
• Aneisha Mitchell
• Jennifer Lynn Mitchell, LPC, MA
• Sam Mohammad-Nia, D.C.
• Farah Mohamoud
• John Randolph Molden III, LCSW
• Momba Home Care Ga LLC
• Monarch Counseling Services LLC

• Plastic Surgery Physician in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.