Teresa Cagle

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN081978 Issued in GA

Practice address

715 Bradley Dr
Fayetteville, GA 30214-2030

Phone

(770) 358-5252

NPI assigned

Jul 12, 2021

Last updated

Nov 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

McIntosh Trail Community Service BoardGroup PAC ID 6204818669, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1336317270
  Medicare reassignment Care Compare group NPD
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1386708212
  NPD
• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Jackson, GA
  • NPI 1265610406
  NPD (past)
• McIntosh Trail Community Service Board

  dba Fayette Co Counseling Center

  • Community/Behavioral Health Agency
  • Fayetteville, GA
  • NPI 1689852840
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1902478852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 BRADLEY DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142030",
            "telephone_number": "770-358-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 BRADLEY DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142030",
            "telephone_number": "770-358-5252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1133 Eagles Landing Pkwy",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302815085",
            "country_code": "US",
            "telephone_number": "678-604-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN081978",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "GA",
            "license": "RN081978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "teresa.cagle@piedmont.org",
            "affiliation": "N",
            "endpointDescription": "Hospital",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "tjcagle3@gmail.com",
            "address_1": "1133 Eagles Landing Pkwy",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302815085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denny Cabo, FNP
• Gina Lee Cabrera-Benson, M.A., CCC-SLP
• Debbra Holder Caddell, LMT
• McArthur Cadet, MD
• Caedel Wellness Center
• Michele Lyn Caldwell, NP
• Christopher Calvin
• Camp Creek Pediatrics
• Doris Johanna Campanelli, CNM
• Canara Cares LLC

• Psychiatric/Mental Health Nurse Practitioner in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.