Individual provider Active NPI

Terica Lomax, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1992111462
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP003270 Issued in GA
Practice address
1512 Piedmont Ave NE
Atlanta, GA 30324-5044
Phone
(470) 447-6475
NPI assigned
Jul 6, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06141419 MS
Family Nurse Practitioner 363LF0000X GAA-NP003270 GA Primary

Addresses

Primary practice location

1512 Piedmont Ave NE
Atlanta, GA 30324-5044

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other practice location 1

7215 S Siwell Rd
Byram, MS 39272
Phone (601) 373-2204

Other practice location 2

126 W Main Street
Raymond, MS 39154
Phone (601) 526-0790

Other identifiers 1

IdentifierTypeStateIssuer
06378322MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141224000633 MS Practitioner - Nurse Practitioner 1052634052 Reassigns benefits to 3 organizations
I20240117002924 TX Practitioner - Nurse Practitioner 1052634052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
GAA-NP003270GAMDFamily Nurse Practitioner
F06141419MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi State Department of Health Current Accepting new patients
Reservoir Family Medical Clinic, PA Current Accepting new patients
Careplus Lakeview Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
River Oaks Management Company LLC CurrentSince Feb 1, 2019 Accepting new patients

Locations

7215 S Siwell Rd
Jackson, MS 39272
Phone (601) 373-2204

570 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 576-7345

126 W Main St
Raymond, MS 39154
Phone (601) 526-0790

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7115/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1404604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1992111462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 PIEDMONT AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245044",
            "telephone_number": "470-447-6475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7215 S Siwell Rd",
            "address_purpose": "LOCATION",
            "city": "Byram",
            "state": "MS",
            "postal_code": "39272",
            "country_code": "US",
            "telephone_number": "601-373-2204",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 W Main Street",
            "address_purpose": "LOCATION",
            "city": "Raymond",
            "state": "MS",
            "postal_code": "39154",
            "country_code": "US",
            "telephone_number": "601-526-0790",
            "fax_number": "601-526-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMAX",
        "first_name": "TERICA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-06",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F06141419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06378322",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.