Theresa Groves, APRN
NPI 1326490384 · Family Nurse Practitioner · Atlanta, GA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Groves, APRN is a Family Nurse Practitioner provider in Atlanta, GA (NPI 1326490384).
Provider details
- NPI number
- 1326490384
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- License
- RN216441 (GA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
75 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 37 | $150 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 27 | $103 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 | $147 |
Typical Medicare-allowed amounts for these services range $103–$150 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-01
- Last updated
- 2016-07-01
Frequently asked questions
- What is Theresa Groves's NPI number?
- Theresa Groves's National Provider Identifier (NPI) is 1326490384, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Groves's specialty?
- Theresa Groves is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Groves located?
- Theresa Groves's practice location on file with NPPES is 235 Peachtree St Ne, Atlanta, GA 30303-1401.
- What is Theresa Groves's phone number?
- The practice phone number listed in the NPPES registry for Theresa Groves is (770) 994-9326.
- Does Theresa Groves accept Medicare?
- Theresa Groves is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Groves's NPI active?
- Yes — Theresa Groves's NPI (1326490384) is active in the NPPES registry as of the last update on 2016-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.