MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C) – Adult Health Nurse Practitioner, NPI 1174895643

MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C) is a healthcare provider. based in Atlanta, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN/MBA, NP-C. They hold a License No. RN143003 (GA). The NPI Number for MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C) is 1174895643

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C)
NPI
1174895643
Phone
(404) 355-3788
Address
3280 Howell Mill Rd NW
Enumeration Date
31 January 2012
Last Update Date
19 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4042314431
Graduation Year
2011 (15 years ago)
PAC ID
4082872213
Group Practice PAC ID
4385969609
Professional Enrollment ID
I20120220000827
Address ID
GA303091316AT2140XNWXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

9,744 NURSE PRACTITIONER in GA

Provider Addresses for MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C)

  • 3280 Howell Mill Rd NW

    Ste 326

    Atlanta, GA 303274111

    Phone: (404) 355-3788

    Fax: (404) 355-6370

    Type: Location

  • 2140 PEACHTREE RD NW STE 232

    ATLANTA, GA 303091316

    Phone: (404) 231-4431

    Fax: (404) 231-5677

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 243 Open Payments records for all available years, with a total value of $28,523.

Total Amount is formed as General ($28,523) + Research ($0) + Ownership ($0) = $28,523.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Gilead Sciences, Inc. ($13,803).

Total Amount

$28,523

General + Research + Ownership

Payments

243

Total payment records

General Amount

$28,523

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2012-02-20

PECOS data refreshed: 2026-06-15

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
I20120220000827INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count4429$0
81003Automated urinalysis test3825$0
80053Blood test, comprehensive group of blood chemicals2619$0
80061Blood test, lipids (cholesterol and triglycerides)2617$0
87536Detection test by nucleic acid for hiv-1 virus, quantification2014$0
View full utilization report →

Insurance plans in this area (ZIP 30327)

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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: 4385969609View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA
Physician AssistantGA
Infectious Disease, Internal MedicineGA
Internal Medicine, Infectious DiseaseMD
Internal MedicineGA
Nurse PractitionerGA
Nurse PractitionerGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

Can I cross-check MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C) using NPI 1174895643?
NPI 1174895643 belongs to MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C); compare other details if you need extra assurance.
Is MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C) still an active registrant?
MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C) carries an active NPI according to the public dataset.
What area of care is associated with MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C)?
MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C)'s record emphasizes Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C)?
Directory geography for MR. TERRY ANTHONY HACKWORTH (MSN/MBA, NP-C) centers on Atlanta, Georgia.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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