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TERESA CAGLE
NPI 1902478852
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since July 12, 2021PECOS Enrolled
715 BRADLEY DR, FAYETTEVILLE, GA 30214(770) 358-5252 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2023, Oct 20, 2021, Jul 12, 2021 (3 updates tracked since 2021).

About Teresa Cagle NPPES

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

TERESA CAGLE (NPI 1902478852) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in Georgia (RN081978) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Stockbridge.

NPPES Registry Identity

NPI1902478852
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTERESA CAGLE
Location Address715 BRADLEY DRFayetteville, GA 30214-2030
Mailing Address715 Bradley DrFayetteville, GA 30214-2030 · (770) 358-5252
Phone(770) 358-5252
Sole ProprietorYes
Enumeration DateJuly 12, 2021
Last NPPES UpdateNovember 16, 20233 updates tracked since enumeration
NPPES CertifiedNovember 3, 2023
✔ NPI 1902478852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN081978
Also ListedRegistered Nurse · EmergencyTaxonomy 163WE0003X · License RN081978 (GA)
715 BRADLEY DR, Fayetteville, GA 30214
Open in Google Maps ↗

Secondary Practice Location 1

Location 11133 Eagles Landing PkwyStockbridge, GA 30281-5085 · Phone (678) 604-1140

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Cagle is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Teresa Cagle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mcintosh Trail Csb
16 mi
Community/Behavioral Health
139 HENRY PKWY
Mcdonough, GA 30253
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Mcintosh Trail Community Service Board
  • 49 clinicians in this Medicare group
NPI 1225216484 (770) 389-7816

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 30214 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.

Other Providers at the Same Location NPPES 7

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

MS. IRIS BRANCH CLEVELAND LCSW
Social Worker (Clinical)
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 638-5252
MRS. EVELYN COWAN STROZIER LAPC
Counselor
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
DR. ANA MARIA CUEBAS M.D
Psychiatry & Neurology (Psychiatry)
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
ADRIENNE DEWBERRY LPN
Licensed Practical Nurse
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
TRACY ANN CARMICHAEL LPC
Counselor (Professional)
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
JENISE TRANNELL CLARK LPC
Counselor
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252
MS. TEMEKA WEATHERLY LPC
Counselor (Professional)
715 BRADLEY DR
FAYETTEVILLE, GA 30214
Fayette County (770) 358-5252

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 Teresa Cagle's NPI number?

The NPI number for Teresa Cagle is 1902478852. It was assigned to this individual provider in the NPPES registry on July 12, 2021.

Where is Teresa Cagle located?

Teresa Cagle practices at 715 Bradley Dr, Fayetteville, GA 30214. The listed phone number is (770) 358-5252.

What is Teresa Cagle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Teresa Cagle enrolled in Medicare?

Yes. Teresa Cagle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Cagle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Cagle reassigns Medicare benefits to Mcintosh Trail Csb (Mcdonough, GA). 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 Teresa Cagle'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 Teresa Cagle was last updated on November 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.