JACQUELYN CHEATHAM-TERRY (D.O) – Family Medicine Physician, NPI 1013276765
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for JACQUELYN CHEATHAM-TERRY (D.O)
420 E 2ND AVE
SUITE 103
ROME, GA 301613209
Phone: (706) 509-3000
Type: Mailing
1025 N MAIN ST
CEDARTOWN, GA 301252036
Phone: (770) 748-5212
Fax: (770) 748-2944
Type: Location
4550 COBB PARKWAY NORTH NW STE 201A
ACWORTH, GA 301014182
Phone: (770) 974-4655
Fax: (770) 974-1970
Type: Location
1650 Chattahoochee Dr
Rockmart, GA 301532023
Phone: (770) 684-7846
Fax: (770) 684-8294
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 167 Open Payments records for all available years, with a total value of $2,694.
Total Amount is formed as General ($2,694) + Research ($0) + Ownership ($0) = $2,694.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($508).
Total Amount
$2,694
General + Research + Ownership
Payments
167
Total payment records
General Amount
$2,694
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $508 |
| ABBVIE INC. | $412 |
| Amgen Inc. | $298 |
| PFIZER INC. | $195 |
| Novo Nordisk Inc | $149 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140711002193 | I | Family Practice | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 420 | 293 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 224 | 224 | $0 |
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | 131 | 131 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 91 | $0 |
| G0008 | Administration of influenza virus vaccine | 71 | 71 | $0 |
Insurance plans in this area (ZIP 30161)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 83036 | Hemoglobin A1C level | 30 | 19 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | GA | |
| - | GA | |
| - | GA | |
| - | GA | |
| R H E U M A T O L O G Y | MI | |
| Hospitalist, Internal Medicine | GA | |
| Nurse Practitioner | TN | |
| Physician Assistant | GA | |
| Physician Assistant | GA | |
| Hospitalist, Internal Medicine | GA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.