P Praxis·MD
● Active Type 1 · Individual

Teri Kaye Pettaway, NP

Nurse Practitioner·Rome, GA· NPI 1376322172 · Enumerated 2023 · 2 years on NPI
Pettaway is 1 of 13 nurse practitioner providers in Rome and 1 of 950 in Georgia.
NPI age
2 years
Enumerated 2023-09-22
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
SC, GA
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-12-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 950 active nurse practitioner providers in Georgia.

NPI age
2 years
↓ 4 yr below median (6 yr)
State licenses
2 states
Top 91% — 8% of peers are multi-state
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2023 → 2026

2023-09Enumerated in NPPES
2023 2026

Where they practice

Practice location
304 Turner McCall Blvd Sw
Rome, GA 301655621
📞 7065099000
Mailing address
300 E McBee Ave Fl 4
Greenville, SC 296012842
📞 8646956697

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    SC license #28655GA license #RN339928 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 135 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 950 Nurse Practitioner providers in Georgia?

Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.

Request a quote →

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.

Related