TERI KAYE PETTAWAY NP
NPI 1376322172
Nurse Practitioner - Acute Care in Rome, GA

Q: What is Teri Pettaway's NPI number?

The NPI number for Teri Pettaway is 1376322172. It was assigned to this individual provider in the NPPES registry on September 22, 2023. The provider is also known as Teri Kaye Montgomery.

Q: What is Teri Pettaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Teri Pettaway was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since September 22, 2023PECOS EnrolledAccepts Medicare Assignment

304 TURNER MCCALL BLVD SW, ROME, GA 30165(706) 509-9000 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Apr 20, 2024 (2 updates tracked since 2024).

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About Teri Kaye Pettaway Np NPPES

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

TERI KAYE PETTAWAY NP (NPI 1376322172) is an individual acute care provider in Rome, Georgia, licensed in South Carolina (28655) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Floyd Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376322172

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameTERI KAYE PETTAWAYCredential: NP

Location Address304 TURNER MCCALL BLVD SWRome, GA 30165-5621

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 695-6697

Phone(706) 509-9000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 22, 2023

Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1376322172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in SC · 28655✔ Licensed in GA · RN339928

304 TURNER MCCALL BLVD SW, Rome, GA 30165

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Other Names 1

Former Name (1)Teri Kaye Montgomery

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina.Insurance ›

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

Teri Kaye Pettaway Np 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 ID8820439961

PECOS Enrollment IDI20260105001903

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.

Hospital Affiliations CMS Care Compare 2

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

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110054

Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County

Birthing friendly

Atrium Health Floyd Polk Medical Center

Critical Access Hospitals · Cedartown, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number111330

Location2360 Rockmart HighwayCedartown, GA 30125 · Polk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30165 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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.

CHARLES BROWN NP

Nurse Practitioner (Neonatal)