NPIMap

Individual provider Active NPI

Kendol Kirk Thomas, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Covington, GA
National Provider Identifier
1013357375
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
88074 Issued in GA
Practice address
5126 Hospital Dr NE
Covington, GA 30014-2566
Phone
(404) 605-5478
NPI assigned
Jul 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 88074 GA Primary
Pulmonary Disease Physician 207RP1001X C1-0011593 DE
Critical Care Medicine (Internal Medicine) Physician 207RC0200X C1-0011593 DE

Addresses

Primary practice location

5126 Hospital Dr NE
Covington, GA 30014-2566

Mailing address

100 Rawlins Dr
Nanticoke Physician Network
Seaford, DE 19973-5881
Phone (302) 629-6611

Other practice location 1

100 Rawlins Dr
Nanticoke Physician Network
Seaford, DE 19973-5881
Phone (302) 629-6611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160824000312 DE Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9739474172 Reassigns benefits to 1 organization
I20210819002019 GA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9739474172 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians
Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians

Practice addresses (Care Compare)

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

1984 Peachtree Rd NW
Suite 300
Atlanta, GA 30309-5219
Phone (404) 367-3210

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone (770) 786-7053

Hospital & facility affiliations

  • Piedmont Rockdale Hospital Hospital, Conyers, GA, CCN 110091
  • Piedmont Newton Hospital Hospital, Covington, GA, CCN 110018
  • Piedmont Hospital, Inc Hospital, Atlanta, GA, CCN 110083
  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0011593DEMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Specialty Hospital Billing LLC CurrentSince Jul 26, 2021 Accepting new patients
Piedmont Providers LLC CurrentSince Sep 25, 2021 Accepting new patients
Tidalhealth Physician Network, Inc. Pulmonary Disease CurrentSince Jul 11, 2016 Accepting new patients

Locations

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

100 Rawlins Dr
Seaford, DE 19973
Phone (302) 536-5415

2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

3820 Medical Park Dr
Austell, GA 30106
Phone (770) 948-5409

1380 Milstead Ave NE
Ste C
Conyers, GA 30012
Phone (770) 918-2310

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

5126 Hospital Dr NE
Covington, GA 30014
Phone (770) 385-4340

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1013357375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RAWLINS DR",
            "address_2": "NANTICOKE PHYSICIAN NETWORK",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735881",
            "telephone_number": "302-629-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142566",
            "telephone_number": "404-605-5478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rawlins Dr",
            "address_2": "Nanticoke Physician Network",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199735881",
            "country_code": "US",
            "telephone_number": "302-629-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KENDOL",
        "middle_name": "KIRK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-01",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "GA",
            "license": "88074",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DE",
            "license": "C1-0011593",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "DE",
            "license": "C1-0011593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.