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TERA EVELYN GALLAWAY
NPI 1083388656
Social Worker - Clinical in Garland, TX

Active since August 05, 2021PECOS Enrolled
4529 ANCILLA DR, GARLAND, TX 75042(469) 964-2188 Get Directions Write a Review

NPPES record last updated: August 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 10, 2021, Aug 5, 2021 (2 updates tracked since 2021).

About Tera Evelyn Gallaway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TERA EVELYN GALLAWAY (NPI 1083388656) is an individual clinical provider in Garland, Texas, licensed in Texas (60028) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1083388656
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTERA EVELYN GALLAWAY
Location Address4529 ANCILLA DRGarland, TX 75042-4508
Mailing Address4529 Ancilla DrGarland, TX 75042-4508 · (469) 964-2188
Phone(469) 964-2188
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 5, 2021
Last NPPES UpdateAugust 10, 20212 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
✔ NPI 1083388656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TX · 60028
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
4529 ANCILLA DR, Garland, TX 75042
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tera Evelyn Gallaway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436614328
PECOS Enrollment IDI20260721004494
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tera Gallaway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Health System Of Texas
11 mi
Children
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 157 clinicians in this Medicare group
NPI 1194743013 (214) 456-1900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.18 – $172.86
Typical copayment $0.00 (range $14.29 – $43.21)
Most-billed visit code NA
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tera Gallaway's NPI number?

The NPI number for Tera Gallaway is 1083388656. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Tera Gallaway located?

Tera Gallaway practices at 4529 Ancilla Dr, Garland, TX 75042. The listed phone number is (469) 964-2188.

What is Tera Gallaway's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Tera Gallaway enrolled in Medicare?

Yes. Tera Gallaway is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tera Gallaway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tera Gallaway reassigns Medicare benefits to Children's Health System Of Texas (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tera Gallaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tera Gallaway was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.