TERI KAYE PETTAWAY NP
NPI 1376322172
Nurse Practitioner - Acute Care in Cartersville, GA
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 Cartersville, Georgia, licensed in South Carolina (28655) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Piedmont Cartersville Medical Center, and maintains a secondary practice location in Rome.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
3Medicare enrollment records show Teri Pettaway reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rome, GA 30165
- Reassigned Medicare billing, Georgia enrollment
- 343 clinicians in this Medicare group
Cedartown, GA 30125
- Reassigned Medicare billing, Georgia enrollment
- 160 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 792 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Cartersville Medical Center
Acute Care Hospitals · Cartersville, GAAtrium Health Floyd Medical Center
Acute Care Hospitals · Rome, GAAtrium Health Floyd Polk Medical Center
Critical Access Hospitals · Cedartown, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CARTERSVILLE, GA 30120
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 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.
Where is Teri Pettaway located?
Teri Pettaway practices at 960 Joe Frank Harris Pkwy SE, Cartersville, GA 30120. The listed phone number is (470) 490-2142.
What is Teri Pettaway's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Teri Pettaway enrolled in Medicare?
Yes. Teri Pettaway 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.
Which organizations bill Medicare for Teri Pettaway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Teri Pettaway reassigns Medicare benefits to 3 organizations: 24 On Physicians, PC (Rome, GA), Georgia Hospitalists Group, LLC (Cedartown, GA) and Piedmont Hospitalist Physicians LLC (Stockbridge, GA). Each 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 Teri Pettaway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Teri Pettaway affiliated with any hospitals?
According to CMS data, Teri Pettaway is affiliated with Piedmont Cartersville Medical Center, Atrium Health Floyd Medical Center and Atrium Health Floyd Polk Medical Center.
When was this NPI record last updated?
The NPPES record for Teri Pettaway was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.
# Teri Kaye Pettaway, NP · NPI 1376322172
Acute Care physician in Cartersville, Georgia. Individual provider, active in the CMS NPPES registry since September 22, 2023.
## Identity
- **NPI:** 1376322172 (Entity type: Individual)
- **Enumerated:** September 22, 2023
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 28655 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 960 JOE FRANK HARRIS PKWY SE, Cartersville, GA 30120-2129
- **Phone:** (470) 490-2142
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): 24 On Physicians, PC (NPI 1912956251, Rome, GA); Georgia Hospitalists Group, LLC (NPI 1477099588, Cedartown, GA); Piedmont Hospitalist Physicians LLC (NPI 1548219660, Stockbridge, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376322172) · Data from the CMS NPPES public registry.