Terra T. Darrisaw

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

00229772 Issued in GA

Legal business name

TERRA T. DARRISAW

Practice address

4526 Yorkdale Dr
Decatur, GA 30035-4253

Phone

(678) 327-3176

NPI assigned

Apr 25, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Terra Teresa Darrisaw

Title

Owner

Phone

(678) 327-3176

Specialties & licenses 1

Addresses

Other names 1

• Hines & Associates Doing business as

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1982962155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 N DECATUR RD # 152",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335305",
            "telephone_number": "678-327-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 YORKDALE DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354253",
            "telephone_number": "678-327-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA T. DARRISAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-25",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "DARRISAW",
        "authorized_official_first_name": "TERRA",
        "authorized_official_middle_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-327-3176",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "00229772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hines & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Telfare, OTR/L
• Tender Heart Ttansportation
• Terri Lynn Tenhoor, MD
• Tequaidas Diagnostics
• Ana-Zully Teran, MD
• Terrance L. Jeter, DMD, PC
• David Terraso
• Phyllis Terrell- Morgan
• Beth-Marie Terrell, IBCLC
• Casey Terrell, RD

• Case Management Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.