Individual provider Active NPI

Clara Michelle Teter, FNP-BC

  • Family Nurse Practitioner
  • Buford, GA
National Provider Identifier
1902371644
Registry record updated Nov 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN214499 Issued in GA
Practice address
4482 Commerce Dr Ste 201
Buford, GA 30518-7503
Phone
(770) 302-2251
NPI assigned
Oct 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN214499 GA Primary

Addresses

Primary practice location

4482 Commerce Dr Ste 201
Buford, GA 30518-7503

Mailing address

2834 Overlake Run
Powder Springs, GA 30127-5027

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN214499GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Hospice and Palliative Care, LLC Current Accepting new patients
Lanier Hospice LLC Past Accepting new patients

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": "1539043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542672000000",
    "number": "1902371644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2834 OVERLAKE RUN",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301275027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 COMMERCE DR STE 201",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305187503",
            "telephone_number": "770-302-2251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETER",
        "first_name": "CLARA",
        "middle_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN214499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.