HEATHER BEASLEY TERRY PA NPI 1578507612

NPI Information

NPI: 1578507612
Provider Name: HEATHER BEASLEY TERRY, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
2785 LAWRENCEVILLE HWY
SUITE100
DECATUR, GA
ZIP 30033
Phone: (404) 292-4612
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Heather Beasley Terry, PA is a surgical physician assistant in Decatur, GA. Heather Beasley Terry, PA NPI is 1578507612. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2785 LAWRENCEVILLE HWY
SUITE100
DECATUR, GA
ZIP 30033-515
Phone: (404) 292-4612
Fax: (678) 514-0088

The enumeration date for this NPI number is 6/16/2006 and was last updated on 8/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	003743	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P50570	MEDICARE UPIN	GEORGIA
2	97WCCLW	MEDICARE PIN	GEORGIA
3	100002705A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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