TERESA TRIPP FORD (FNP) – Family Nurse Practitioner, NPI 1023580420

TERESA TRIPP FORD (FNP) is a healthcare provider. based in Ashburn, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN201917 (GA). The NPI Number for TERESA TRIPP FORD (FNP) is 1023580420

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
TERESA TRIPP FORD (FNP)
NPI
1023580420
Phone
(229) 567-4414
Address
317 E WASHINGTON AVE
Enumeration Date
23 December 2018
Last Update Date
20 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294338200
Graduation Year
2018 (8 years ago)
PAC ID
7810235710
Group Practice PAC ID
5496284028
Professional Enrollment ID
I20190220000432
Address ID
GA316026814VA4256XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

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Provider Addresses for TERESA TRIPP FORD (FNP)

  • 317, East Washington Avenue, Ashburn, Turner County, Georgia, 31714, United States

    ASHBURN, GA 317145248

    Phone: (229) 567-4414

    Type: Location

  • 503, East College Avenue, Ashburn, Turner County, Georgia, 31714, United States

    ASHBURN, GA 317145322

    Phone: (229) 457-1313

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $347.

Total Amount is formed as General ($347) + Research ($0) + Ownership ($0) = $347.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Kerecis Limited ($122).

Total Amount

$347

General + Research + Ownership

Payments

13

Total payment records

General Amount

$347

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-02-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190220000432INurse PractitionerGATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31714)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496284028View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineWI
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerFL

Reviews

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Frequently asked questions

How is TERESA TRIPP FORD (FNP) identified in CMS data?
CMS-hosted NPPES data lists TERESA TRIPP FORD (FNP) with NPI 1023580420.
Does CMS list TERESA TRIPP FORD (FNP) as active?
Yes — TERESA TRIPP FORD (FNP) is active in the NPI listing used on this page.
What is TERESA TRIPP FORD (FNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for TERESA TRIPP FORD (FNP) here. Clinical services aligned with this taxonomy classification.
What area does TERESA TRIPP FORD (FNP) serve?
TERESA TRIPP FORD (FNP)'s listing highlights Ashburn, Georgia; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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