Provider Demographics
NPI:1982682340
Name:APT, TERRY (FNP)
Entity Type:Individual
Prefix:MRS
First Name:TERRY
Middle Name:
Last Name:APT
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:J
Other - Last Name:APT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:1120 HEATHER WOOD CT
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-2926
Mailing Address - Country:US
Mailing Address - Phone:770-910-5780
Mailing Address - Fax:
Practice Address - Street 1:1395 S MARIETTA PKWY SE STE 730
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-7886
Practice Address - Country:US
Practice Address - Phone:404-763-1456
Practice Address - Fax:404-343-4783
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA176831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA704931144BKMedicaid
GA704931144AMedicaid
GAQ33242Medicare UPIN
GA704931144BKMedicaid
GA202I505919Medicare PIN
GA704931144AMedicaid