NPIMap

Individual provider Active NPI

Teresa Michele Bradford, MD

  • Family Medicine Physician
  • Blairsville, GA
National Provider Identifier
1922015452
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
058650 Issued in GA
Practice address
63 Pleasant Hill Rd
Blairsville, GA 30512-2291
Phone
(706) 745-2229
Fax
(706) 745-0836
NPI assigned
Aug 1, 2006
Last updated
Mar 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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 058650 GA Primary

Addresses

Primary practice location

63 Pleasant Hill Rd
Blairsville, GA 30512-2291

Mailing address

PO Box 2239
Blairsville, GA 30514-2239
Phone (706) 745-2229

Other names 1

  • Dr. Teresa Michele Thompson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070605000574 GA Practitioner - Family Practice 6608804760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

63 Pleasant Hill Rd
Blairsville, GA 30512-2291
Phone (706) 745-2229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Sep 22, 2020 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Sep 22, 2020 Accepting new patients
High Mountain Healthcare, LLC Family Medicine CurrentSince May 1, 2007 Accepting new patients
Privia Medical Group, LLC Family Medicine Past Accepting new patients
Union General Hospital Inc Past Accepting new patients
High Mountain Health, PC Past Accepting new patients
Union County Hospital Authority Past Accepting new patients

Locations

63 Pleasant Hill Rd
Blairsville, GA 30512
Phone (706) 745-2229

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8bbd570d-db8f-4e0a-abe5-48b447c735fb/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHGCA
  • Direct secure messaging: teresa.bradford.1@8042.direct.athenahealth.com

Organizations & group practices 7

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 10

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1922015452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2239",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305142239",
            "telephone_number": "706-745-2229",
            "fax_number": "706-745-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 PLEASANT HILL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122291",
            "telephone_number": "706-745-2229",
            "fax_number": "706-745-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADFORD",
        "first_name": "TERESA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "058650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERESA",
            "last_name": "THOMPSON",
            "middle_name": "MICHELE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.