Teresa Michele Bradford, MD
Individual provider Active NPI Family Medicine Physician · Blairsville, GA
NPI 1922015452 · NPPES record last updated Mar 22, 2019
Key facts
- NPI
- 1922015452
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 058650 (GA)
- Practice address
- 63 Pleasant Hill Rd
Blairsville, GA 30512-2291 - Phone
- (706) 745-2229
- Fax
- (706) 745-0836
- NPI assigned
- Aug 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 10
Medicare Care Compare profile
- 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
- Privia Medical Group of Georgia LLC
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
- Tugaloo Home Health Agency, an Amedisy Company
- Pruitthealth at Home - Gainesville
- Pruitthealth Hospice-Blue Ridge
- Union General Hospital
- Piedmont Mountainside Hospital Inc
- Chatuge Regional Hospital
- Erlanger Murphy Medical Center
- Northeast Georgia Medical Center, Inc
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070605000574 | GA | Practitioner - Family Practice | 6608804760 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Mountain Healthcare, LLC | Family Medicine | Current |
Accepting new patients |
| Privia Medical Group of Georgia LLC | Family Medicine | Current |
Accepting new patients |
| Privia Medical Group of Georgia LLC | Family Medicine | Current |
Accepting new patients |
| Union County Hospital Authority | Past | Accepting new patients | |
| Union General Hospital Inc | Past | Accepting new patients | |
| High Mountain Health, PC | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- teresa.bradford.1@8042.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/IBHGCA
- https://fhir-myrecord.cerner.com/r4/8bbd570d-db8f-4e0a-abe5-48b447c735fb/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 058650 | GA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5906394 | Medicaid | NC | |
| 971476565B | Medicaid | GA |
Other names
- Dr. Teresa Michele Thompson
Other providers in Blairsville, GA
- Blue Ridge Orthopedics Inc.
- Blue Ridge Radiology PC
- Carrie Bowden
- Kaitlyn Boyce
- Douglas Keith Bradford
- Brasstown Professional Pharmacy, Inc
- Brasstown Professional Pharmacy, Inc
- William David Breedlove
- Tracy A Brooks
- Cheryl L Buchwalter
All providers in Blairsville, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.