Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teresa Cagle

Individual provider Emergency Registered Nurse · NPI 1902478852

Teresa Cagle is a Nurse Practitioner in Fayetteville, Georgia. Qualified in 2021, 5 years ago. Practices with McIntosh Trail Community Service Board, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

715 Bradley Dr
Fayetteville, GA 30214-2030
Phone: (770) 358-5252
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1133 Eagles Landing Pkwy, Stockbridge, GA 30281-5085 — (678) 604-1140

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN081978 (GA)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN081978 (GA)

Record details

NPI number1902478852
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2021
Last updated in NPPESNovember 16, 2023
Certification dateNovember 3, 2023
Mailing address715 Bradley Dr, Fayetteville, GA 30214-2030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice McIntosh Trail Community Service Board — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare