TERRA HARDEMAN (FNP) – Nurse Practitioner, NPI 1942716642

TERRA HARDEMAN (FNP) is a healthcare provider. based in Vidalia, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN169559 (GA). The NPI Number for TERRA HARDEMAN (FNP) is 1942716642

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
TERRA HARDEMAN (FNP)
NPI
1942716642
Phone
(912) 537-4986
Address
PO BOX 407
Enumeration Date
18 December 2017
Last Update Date
21 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9125388484
Graduation Year
2017 (9 years ago)
PAC ID
4486919347
Group Practice PAC ID
6002223484
Professional Enrollment ID
I20180523001876
Address ID
GA304748852VI101XXBLVD404
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for TERRA HARDEMAN (FNP)

  • PO BOX 407

    VIDALIA, GA 304750407

    Phone: (912) 537-4986

    Type: Mailing

  • 1006 Mount Vernon Rd

    Vidalia, GA 304743029

    Phone: (912) 537-1221

    Type: Location

  • 1 Meadows Pkwy

    Vidalia, GA 304748759

    Phone: (912) 535-5555

    Type: Location

  • 208 N Broughton St

    Ailey, GA 304103242

    Phone: (912) 230-8483

    Fax: (912) 583-4886

    Type: Location

  • 195 E Tollison St

    Baxley, GA 315130172

    Phone: (912) 535-3500

    Type: Location

  • 11 Cross St

    Hazlehurst, GA 315396427

    Phone: (912) 535-3500

    Type: Location

  • 101 HARRIS INDUSTRIAL BLVD STE A

    VIDALIA, GA 304748852

    Phone: (912) 535-3500

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-05-23

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
I20180523001876INurse 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 30475)

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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: 6002223484View full group profile
NameSpecialtyState
Nurse PractitionerGA
Nurse PractitionerGA
Radiation OncologyGA
Cardiovascular Disease (Cardiology)GA
Certified Nurse Midwife (Cnm)GA
U R O L O G YGA
Gastroenterology, Internal MedicineFL
O B S T E T R I C S/ G Y N E C O L O G YGA
Pulmonary Disease, Internal MedicineGA
Nurse PractitionerGA

Reviews

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Frequently asked questions

How is TERRA HARDEMAN (FNP) identified in CMS data?
CMS-hosted NPPES data lists TERRA HARDEMAN (FNP) with NPI 1942716642.
Does CMS list TERRA HARDEMAN (FNP) as active?
Yes — TERRA HARDEMAN (FNP) is active in the NPI listing used on this page.
What is TERRA HARDEMAN (FNP) best known for clinically?
Directory data describes TERRA HARDEMAN (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for TERRA HARDEMAN (FNP)?
TERRA HARDEMAN (FNP)'s geographic hint is Vidalia, Georgia in our summary view.
How many locations tie to this NPI?
8 practice locations appear in the available data.

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