Teri Kaye Pettaway, NP in Rome, GA - Medicare Nurse Practitioner

Teri Kaye Pettaway, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Rome, Georgia. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health Medical Group-midlands and her current practice location is 304 Turner Mccall Blvd Sw, Rome, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 509-9000.

Teri Kaye Pettaway is licensed to practice in South Carolina (license number 28655) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376322172.

Contact Information

	Teri Kaye Pettaway, NP
	304 Turner Mccall Blvd Sw, Rome, GA 30165-5621
	(706) 509-9000
	Not Available

Map and Direction

Provider's Profile

Full Name	Teri Kaye Pettaway
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	304 Turner Mccall Blvd Sw, Rome, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Teri Kaye Pettaway graduated from nursing school in 2024

NPI Data:

NPI Number: 1376322172
Provider Enumeration Date: 09/22/2023
Last Update Date: 12/18/2025

Medicare PECOS Information:

PECOS PAC ID: 8820439961
Enrollment ID: I20240507003650

Medical Identifiers

Medical identifiers for Teri Kaye Pettaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376322172	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	28655 (South Carolina)	Primary
363LA2100X	Nurse Practitioner - Acute Care	RN339928 (Georgia)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Heath Tuomey Hospital	Sumter, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health Medical Group-midlands	5991099707	919

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Teri Kaye Pettaway allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Teri Kaye Pettaway is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Teri Kaye Pettaway, NP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 695-6697	Teri Kaye Pettaway, NP 304 Turner Mccall Blvd Sw, Rome, GA 30165-5621 Ph: (706) 509-9000

Reviews and Comments

Nurse Practitioner Nurses in Rome, GA

Charles Brown, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 304 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 706-509-6515
Hilarie Hincy Rankin, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 John Maddox Dr Nw Ste 100, Rome, GA 30165 Phone: 706-528-9060 Fax: 706-528-9061
Mckenzi Paige Brumby, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 Turner Mccall Blvd Sw, Rome, GA 30165 Phone: 762-235-2710 Fax: 706-291-2227
Ashley Nicole Wilbanks, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 Redmond Rd Nw, Suite A, Rome, GA 30165 Phone: 706-233-8506 Fax: 706-233-8507
Ronald Seth Van Dyke, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Redmond Rd Nw, Rome, GA 30165 Phone: 762-235-3960 Fax: 706-233-8505
Alexis Butler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4159 Martha Berry Hwy Nw, Rome, GA 30165 Phone: 706-232-8477
Kayla Denise Mann, DNP PMHNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 409 W 10th St Ne, Rome, GA 30165 Phone: 706-690-4772

Teri Kaye Pettaway, NP - Medicare Nurse Practitioner in Rome, GA