P Praxis·MD
● Active Type 1 · Individual

Hampton Tedder

Case Manager/Care Coordinator·Douglasville, GA· NPI 1053952226 · Enumerated 2019 · 6 years on NPI
Tedder is 1 of 16 case manager/care coordinator providers in Douglasville and 1 of 1100 in Georgia.
NPI age
6 years
Enumerated 2019-09-30
Primary specialty
Case Manager/Care Coordinator
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-09-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1100 active case manager/care coordinator providers in Georgia.

NPI age
6 years
↓ 2 yr below median (8 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-09Enumerated in NPPES
2019 2026

Where they practice

Practice location
3928 Landmark Dr
Douglasville, GA 301351290
📞 3345246589
Mailing address
3928 Landmark Dr
Douglasville, GA 301351290
📞 3345246589

Specialties

  • Case Manager/Care Coordinator Primary
    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
    GA license #19117787 taxonomy 171M00000X

Identifiers

TypeValueNotes
01 (GA) 2310C UNITEDHEALTHCARE, BLUECROSSBLUESHIELD, AMBETTER, HUMANA, AETNA, WELLCARE, CIGNA,

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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