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

Teri Kaye Pettaway, NP

Individual provider Acute Care Nurse Practitioner · NPI 1376322172

Teri Kaye Pettaway, NP is a Nurse Practitioner in Rome, Georgia. Qualified in 2024, 2 years ago. Practices with 24 on Physicians PC, a 276-clinician group and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
2
Licensed in
GA, SC
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone: (706) 509-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 28655 (SC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence RN339928 (GA)

Record details

NPI number1376322172
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 22, 2023
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice 24 On Physicians Pc — 276 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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