Individual provider Active NPI

Jay C Thomas

  • Family Medicine Physician
  • Rome, GA
National Provider Identifier
1013939339
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047997 Issued in GA
Practice address
28 John Davenport Dr NW
Rome, GA 30165-2536
Phone
(706) 509-3000
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 047997 GA Primary

Addresses

Primary practice location

28 John Davenport Dr NW
Rome, GA 30165-2536

Mailing address

420 E 2ND Ave Ste 103
Rome, GA 30161-3210
Phone (706) 509-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jthomas913698@CarolinasHealthcareSystem.direct-ci.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629000460 GA Practitioner - Family Practice 1153307160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

1025 N Main St
Cedartown, GA 30125-2036
Phone (770) 748-5212

28 John Davenport Dr NW
Rome, GA 30165-2536
Phone (706) 232-1503

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.9 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Healthcare Management Inc CurrentSince Apr 12, 2004 Accepting new patients
Floyd Healthcare Management Inc Family Medicine CurrentSince Apr 12, 2004 Accepting new patients
Redmond Physician Practice Company Family Medicine Past Accepting new patients

Locations

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

330 Turner McCall Blvd SW
Ste 107
Rome, GA 30165
Phone (706) 509-6439

420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278

5764 New Calhoun Hwy NE
Rome, GA 30161
Phone (706) 295-4476

28 John Davenport Dr NW
Rome, GA 30165
Phone (706) 232-1503

Interoperability endpoints

  • Direct secure messaging: jthomas913698@carolinashealthcaresystem.direct-ci.com

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 4

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1013939339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 2ND AVE STE 103",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613210",
            "telephone_number": "706-509-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 JOHN DAVENPORT DR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301652536",
            "telephone_number": "706-509-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JAY",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "047997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthomas913698@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "N",
            "address_1": "28 John Davenport Dr NW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301652536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.