Individual provider Active NPI

Terence L. Moraczewski, M.D.

  • Family Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1841273422
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
045557 Issued in GA
Practice address
3905 Brookside Pkwy Ste 300
Alpharetta, GA 30022-4458
Phone
(770) 442-9111
Fax
(770) 442-0306
NPI assigned
Nov 28, 2005
Last updated
May 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 045557 GA Primary

Addresses

Primary practice location

3905 Brookside Pkwy Ste 300
Alpharetta, GA 30022-4458

Mailing address

3400 Old Milton Pkwy Ste C270
Alpharetta, GA 30005-4414
Phone (770) 442-1911

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000012 GA Practitioner - Family Practice 1759564925 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1255 Friendship Rd
Suite 130
Braselton, GA 30517-5617
Phone (770) 442-1911

141 Lacy St NW
Suite 100
Marietta, GA 30060-1117
Phone (770) 442-1911

1504 N Thornton Ave
Dalton, GA 30720-8394
Phone (770) 442-1911

4865 Lavista Rd
Suite a
Tucker, GA 30084-4436
Phone (770) 442-1911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045557GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Sep 1, 1998 Accepting new patients
Northside Womens Group LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Southeast Medical Group, P.C. PastSince Jan 1, 2022 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste C270
Alpharetta, GA 30005
Phone 7704421911233

3905 Brookside Pkwy
Ste 300
Alpharetta, GA 30022
Phone (770) 442-9111

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
  • Direct secure messaging: terencemoraczewski@napc.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1841273422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY STE C270",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054414",
            "telephone_number": "770-442-1911",
            "fax_number": "770-663-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 BROOKSIDE PKWY STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224458",
            "telephone_number": "770-442-9111",
            "fax_number": "770-442-0306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORACZEWSKI",
        "first_name": "TERENCE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

Verify at the official NPI Registry.