| Teri Kaye Pettaway, NP | |
|
960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 | |
| (470) 490-2142 | |
| Not Available |
| Full Name | Teri Kaye Pettaway |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 960 Joe Frank Harris Pkwy Se, Cartersville, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376322172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 28655 (South Carolina) | Primary |
| 363LA2100X | Nurse Practitioner - Acute Care | RN339928 (Georgia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Atrium Health Floyd Medical Center | Rome, GA | Hospital |
| Atrium Health Floyd Polk Medical Center | Cedartown, GA | Hospital |
| Piedmont Cartersville Medical Center | Cartersville, GA | Hospital |
| Floyd Cherokee Medical Center | Centre, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| 24 On Physicians Pc | 5698688141 | 274 |
| Entity Name | 24 on Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912956251 PECOS PAC ID: 5698688141 Enrollment ID: O20031216000444 |
| Entity Name | Georgia Hospitalists Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033576376 PECOS PAC ID: 0840434866 Enrollment ID: O20130912000799 |
| 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 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120-2129 Ph: (470) 490-2142 |
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 960 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 470-490-2142 |
Mrs. Jessica Perri Lay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15 Medical Dr Ne Ste 101, Cartersville, GA 30121 Phone: 770-386-5221 Fax: 770-386-1128 |
Sandra Beverley Burrell-spence, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Gentilly Blvd, Cartersville, GA 30120 Phone: 470-490-6510 Fax: 470-490-6517 |
Sandy Menard, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 W Main St, Cartersville, GA 30120 Phone: 678-719-3240 |
Ms. Lourdes Cristina Irizar, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1328 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-382-0029 |
Laurene Mcafee, RN, CFNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15 Medical Dr Ne, Cartersville, GA 30121 Phone: 770-386-5221 |
Aaron Mansfield, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1328 Joe Frank Harris Pkwy Se, Cartersville, GA 30120 Phone: 770-382-0029 |