Terry L Dickerson (NPI# 1598766313, PAC ID# 7012070741) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1598766313 |
| PAC ID by PECOS | 7012070741 |
| Professional Enrollment ID | I20090107000209 |
| Full Name | Terry L Dickerson |
| Address |
6567 Professional Pl Riverdale GA 30274-2519 |
| Gender | M |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110165 | SOUTHERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6567 Professional Pl, Riverdale, GA 30274-2519 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 7% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 94% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 4% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 3% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 3% |
| Street Address |
6567 PROFESSIONAL PL |
| City | RIVERDALE |
| State | GA |
| Zip | 30274-2519 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert E Waikel | Chiropractic | 7075 Church St, Riverdale, GA 30274-2306 | |
| Gokarnesan Natarajan | Orthopedic Surgery | 528 Valley Hill Rd Sw, Riverdale, GA 30274-2441 | |
| Deepu Daniel | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Felix Pelaez | General Surgery | 195 Upper Riverdale Rd Sw, Riverdale, GA 30274-2518 | |
| Jun-ki Park | Nephrology | Caritas Medical Center | 195 Upper Riverdale Swrd A, Riverdale, GA 30274-2518 |
| Feroze A Yusufji | Orthopedic Surgery | 6525 Professional Pl A, Riverdale, GA 30274-2519 | |
| Mark Guerdan | Anesthesiology | 6525 Professional Pl B, Riverdale, GA 30274-2519 | |
| Xuandao L Nguyen | Optometry | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Ahmed M Nassar | Ophthalmology | Nassar Enterprises,llc | 6524 Professional Pl, Riverdale, GA 30274-2520 |
| Raghuram Kolanu | Neurology | 276 Medical Way, Riverdale, GA 30274-2521 | |
| Find all physicians in zip 30274 | |||
| City | RIVERDALE |
| Zip Code | 30274 |
| Specialty | PODIATRY |
| City + Specialty | RIVERDALE + PODIATRY |
Please comment or provide details below to improve the information on Terry L Dickerson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.