THERESA ANN GROVES APRN
NPI 1326490384
Nurse Practitioner - Family in Atlanta, GA

Active since July 01, 2016PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
235 PEACHTREE ST NE, SUITE 2100, NORTH TOWER, ATLANTA, GA 30303(770) 994-9326 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Ann Groves Aprn NPPES

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

THERESA ANN GROVES APRN (NPI 1326490384) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN216441) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1326490384
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTHERESA ANN GROVESCredential: APRN
Location Address235 PEACHTREE ST NE, SUITE 2100, NORTH TOWERAtlanta, GA 30303-1401
Mailing Address5354 Johnson SpurLoganville, GA 30052-2915 · (678) 699-9434
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 1, 2016
NPI 1326490384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN216441
235 PEACHTREE ST NE, Atlanta, GA 30303

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Theresa Ann Groves Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860780129
PECOS Enrollment IDI20161019002004
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
37 services36 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30303 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
235 PEACHTREE ST NE, SUITE 2100
ATLANTA, GA 30303
Emergency Medicine
235 PEACHTREE ST NE, NORTH TOWER, SUITE 2100
ATLANTA, GA 30303
Non-emergency Medical Transport (VAN)
235 PEACHTREE ST NE, SUITE 400
ATLANTA, GA 30303
Emergency Medicine (Emergency Medical Services)
235 PEACHTREE ST NE, NORTH TOWER, SUITE 2100
ATLANTA, GA 30303
Emergency Medicine
235 PEACHTREE ST NE, SUITE 2100, NORTH TOWER
ATLANTA, GA 30303
Emergency Medicine
235 PEACHTREE ST NE, NORTH TOWER, SUITE 2100
ATLANTA, GA 30303
Emergency Medicine (Emergency Medical Services)
235 PEACHTREE ST NE, NORTH TOWER, SUITE 2100
ATLANTA, GA 30303
Physician Assistant (Medical)
235 PEACHTREE ST NE, NORTH TOWER, SUITE 2100
ATLANTA, GA 30303

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 Theresa Groves's NPI number?

The NPI number for Theresa Groves is 1326490384. It was assigned to this individual provider in the NPPES registry on July 1, 2016.

Where is Theresa Groves located?

Theresa Groves practices at 235 Peachtree St NE Suite 2100, North Tower, Atlanta, GA 30303. The listed phone number is (770) 994-9326.

What is Theresa Groves's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Groves enrolled in Medicare?

Yes. Theresa Groves is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Theresa Groves affiliated with any hospitals?

According to CMS data, Theresa Groves is affiliated with Emory University Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Groves was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.