Active NPI
Joseph S Thomas M D
- Internal Medicine Physician
- Valdosta, GA
National Provider Identifier
1003087024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 040573
- Legal business name
- JOSEPH S THOMAS M D
- Practice address
- 410 Connell Rd
Ste T
Valdosta, GA 31602-1407 - Phone
- (229) 242-9565
- Fax
- (229) 242-1725
- NPI assigned
- Mar 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Stuart Thomas, M D
- Title
- Proprietor
- Phone
- (229) 242-9565
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 040573 | GA | Primary |
Addresses
Primary practice location
410 Connell Rd
Ste T
Valdosta, GA 31602-1407
Mailing address
410 Connell Rd
Ste T
Valdosta, GA 31602-1407
Phone (229) 242-9565
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00656598A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
201 Pendleton Dr
Ste 203
Valdosta, GA 31602
Phone (912) 242-9565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205798400000",
"number": "1003087024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 CONNELL RD",
"address_2": "STE T",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021407",
"telephone_number": "229-242-9565",
"fax_number": "229-242-1725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 CONNELL RD",
"address_2": "STE T",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021407",
"telephone_number": "229-242-9565",
"fax_number": "229-242-1725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH S THOMAS M D",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "STUART",
"authorized_official_title_or_position": "PROPRIETOR",
"authorized_official_telephone_number": "229-242-9565",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "040573",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00656598A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.