THERESA KASSACK BUCHANAN (NP) – Family Nurse Practitioner, NPI 1902128747

Family Nurse Practitioner

THERESA KASSACK BUCHANAN (NP) is a healthcare provider. based in Milledgeville, Georgia. specializing in Family Nurse Practitioner. They hold the professional credentials NP. They hold a License No. RN149616 (GA). The NPI Number for THERESA KASSACK BUCHANAN (NP) is 1902128747

Main info

Female

18 Years Of Experience

Accepts Medicare Assignment

Name

THERESA KASSACK BUCHANAN (NP)

NPI

1902128747

Phone

(478) 445-5288

Address

134 W CAMPUS DR

Enumeration Date

22 February 2010

Last Update Date

8 March 2022

Doctor Profile

Medical School Name

MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE

Secondary Phone

7702271587

Graduation Year

2008 (18 years ago)

PAC ID

5597934216

Group Practice PAC ID

2961493697

Professional Enrollment ID

I20110812000497

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for THERESA KASSACK BUCHANAN (NP)

134 W CAMPUS DR
CBX 091
MILLEDGEVILLE, GA 31061
Phone: (478) 445-5288
Fax: (478) 445-3142
Type: Location
265 LAKE ISLAND DR
SPARTA, GA 310875022
Phone: (770) 412-6880
Type: Mailing
Graefe Street, Griffin, Spalding County, Georgia, 30224, United States
GRIFFIN, GA 302244222
Phone: (770) 227-1587
Fax: (770) 227-1485
Type: Location
820, Hillcrest Avenue, Griffin, Spalding County, Georgia, 30224, United States
GRIFFIN, GA 302244917
Phone: (770) 412-6880
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 31061)

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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: 2961493697View full group profile