Individual provider Active NPI

Tekeria Gallemore, MSN,APRN,FNP

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1821604158
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN250476 Issued in GA
Practice address
781 Spring St Ste 230
Macon, GA 31201-2185
Phone
(478) 633-1547
NPI assigned
Sep 22, 2020
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN250476 GA
Family Nurse Practitioner 363LF0000X RN250476 GA Primary

Addresses

Primary practice location

781 Spring St Ste 230
Macon, GA 31201-2185

Mailing address

781 Spring St Ste 230
Macon, GA 31201-2185
Phone (478) 633-1547

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
I20201202002873 GA Practitioner - Nurse Practitioner 6709297344 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Services of Central Georgia, Inc CurrentSince Mar 22, 2023 Accepting new patients

Locations

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1821604158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 SPRING ST STE 230",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012185",
            "telephone_number": "478-633-1547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "781 SPRING ST STE 230",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012185",
            "telephone_number": "478-633-1547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEMORE",
        "first_name": "TEKERIA",
        "credential": "MSN,APRN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN250476",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN250476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.