Organization Active NPI

Joseph S Thomas M D

  • Internal Medicine Physician
  • Valdosta, GA
National Provider Identifier
1003087024
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
040573 Issued in GA
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

Updated by the provider on Mar 18, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00656598AMedicaidGA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.