Mrs Terri Tonisha Van Dorn, NP (ACNP-BC) - Nurse Practitioner in Conyers, GA

Mrs Terri Tonisha Van Dorn, NP (ACNP-BC) is a Nurse Practitioner based in Conyers, Georgia. Mrs Terri Tonisha Van Dorn is licensed to practice in Georgia (license number RN195252) and her current practice location is 1901 Honey Creek Commons Se, Conyers, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 413-3752.

NPI number for Mrs Terri Tonisha Van Dorn is 1124363577 and her current mailing address is 497 Winn Way, Suite A-20, Decatur, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124363577.

Contact Information

Mrs Terri Tonisha Van Dorn, NP (ACNP-BC)
1901 Honey Creek Commons Se,
Conyers, GA 30013-5806
(678) 413-3752
(678) 413-3751

Map and Direction




Provider's Profile

Full NameMrs Terri Tonisha Van Dorn
GenderFemale
SpecialityNurse Practitioner
Location1901 Honey Creek Commons Se, Conyers, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124363577
  • Provider Enumeration Date: 12/11/2012
  • Last Update Date: 10/27/2014

Medical Identifiers

Medical identifiers for Mrs Terri Tonisha Van Dorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124363577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN195252 (Georgia)Primary
363LA2100XNurse Practitioner - Acute Care RN195252 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health RN195252 (Georgia)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Terri Tonisha Van Dorn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Terri Tonisha Van Dorn, NP (ACNP-BC)
497 Winn Way, Suite A-20,
Decatur, GA 30030-1712

Ph: (404) 294-7033
Mrs Terri Tonisha Van Dorn, NP (ACNP-BC)
1901 Honey Creek Commons Se,
Conyers, GA 30013-5806

Ph: (678) 413-3752

Reviews and Comments


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Nathalie G Bailey, NP-C
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Phone: 770-929-9150    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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