Mrs Terri Tonisha Van Dorn, NP (ACNP-BC) - Nurse Practitioner in Conyers, GA

Mrs Terri Tonisha Van Dorn, NP (ACNP-BC) is a Nurse Practitioner based in Conyers, Georgia. Mrs Terri Tonisha Van Dorn is licensed to practice in Georgia (license number RN195252) and her current practice location is 1901 Honey Creek Commons Se, Conyers, Georgia. She can be reached at her office (for appointments etc.) via phone at (678) 413-3752.

NPI number for Mrs Terri Tonisha Van Dorn is 1124363577 and her current mailing address is 497 Winn Way, Suite A-20, Decatur, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124363577.

Contact Information

Mrs Terri Tonisha Van Dorn, NP (ACNP-BC)
1901 Honey Creek Commons Se,
Conyers, GA 30013-5806
(678) 413-3752
(678) 413-3751



Provider's Profile

Full NameMrs Terri Tonisha Van Dorn
GenderFemale
SpecialityNurse Practitioner
Location1901 Honey Creek Commons Se, Conyers, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124363577
  • Provider Enumeration Date: 12/11/2012
  • Last Update Date: 10/27/2014

Medical Identifiers

Medical identifiers for Mrs Terri Tonisha Van Dorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124363577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN195252 (Georgia)Primary
363LA2100XNurse Practitioner - Acute Care RN195252 (Georgia)Secondary
363LA2200XNurse Practitioner - Adult Health RN195252 (Georgia)Secondary

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. Mrs Terri Tonisha Van Dorn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Terri Tonisha Van Dorn, NP (ACNP-BC)
497 Winn Way, Suite A-20,
Decatur, GA 30030-1712

Ph: (404) 294-7033
Mrs Terri Tonisha Van Dorn, NP (ACNP-BC)
1901 Honey Creek Commons Se,
Conyers, GA 30013-5806

Ph: (678) 413-3752

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Nurse Practitioner Nurses in Conyers, GA

Turquoise Allen,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1506 Klondike Rd Sw Ste 403, Conyers, GA 30094
Phone: 770-285-6699    Fax: 770-285-6510
Cecelin E Fields,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1706 Woodstone Cv Se, Conyers, GA 30013
Phone: 770-688-0405    
Assumpta Ogbedeagu, MS-FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2920 Highway 138 Ne, Conyers, GA 30013
Phone: 303-214-8017    
Meetali Bindra, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1288 Wellbrook Cir Ne Ste A, Conyers, GA 30012
Phone: 678-369-6934    
Ms. Judith T Chabot, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 425 Sigman Rd Nw, Suite 109, Conyers, GA 30012
Phone: 678-413-2026    Fax: 678-413-2030
Nathalie G Bailey, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1280 Dogwood Dr Se, Conyers, GA 30013
Phone: 404-994-4662    
Mrs. Tonya K Jefferson, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2890 Highway 212 Sw Ste E, Conyers, GA 30094
Phone: 770-929-9150    

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