Latera D Terry, - Medicare Physician Assistant in Lawrenceville, GA

Latera D Terry, is a medicare enrolled "Physician Assistant" physician in Lawrenceville, Georgia. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Peachtree Immediate Care Fp, Llc and her current practice location is 771 Old Norcross Rd Ste 225, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 802-4045.

Latera D Terry is licensed to practice in Georgia (license number 8448) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407193014.

Contact Information

Latera D Terry,
771 Old Norcross Rd Ste 225,
Lawrenceville, GA 30046-4982
(678) 802-4045
(770) 407-2059



Physician's Profile

Full NameLatera D Terry
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location771 Old Norcross Rd Ste 225, Lawrenceville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Latera D Terry graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1407193014
  • Provider Enumeration Date: 01/16/2013
  • Last Update Date: 05/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6204195795
  • Enrollment ID: I20180108002345

Medical Identifiers

Medical identifiers for Latera D Terry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407193014NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 8448 (Georgia)Secondary
207P00000XEmergency Medicine 8448 (Georgia)Secondary
363A00000XPhysician Assistant 8448 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peachtree Immediate Care Fp, Llc3274559323223

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latera D Terry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Latera D Terry,
2745 Dekalb Medical Pkwy Ste 200,
Lithonia, GA 30058-4933

Ph: (404) 446-3870
Latera D Terry,
771 Old Norcross Rd Ste 225,
Lawrenceville, GA 30046-4982

Ph: (678) 802-4045

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