NPIMap

Organization Active NPI

Jerry a.Thomas M.D., L.L.C.

  • Primary Care Clinic/Center
  • Franklinton, LA
National Provider Identifier
1023376183
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD.015223 Issued in LA
Legal business name
JERRY A.THOMAS M.D., L.L.C.
Practice address
51704 Highway 438
Franklinton, LA 70438
Phone
(985) 848-9955
Fax
(985) 848-9964
NPI assigned
Apr 26, 2012
Last updated
Jan 31, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Kristina Dokka Knight
Title
Practice Administrator
Phone
(985) 795-4147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD.015223 LA Primary

Addresses

Primary practice location

51704 Highway 438
Franklinton, LA 70438

Mailing address

51704 Highway 438
Franklinton, LA 70438
Phone (985) 848-9955

Other identifiers 2

IdentifierTypeStateIssuer
1321044MedicaidLA
5DX93OtherLAMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Riverside Medical Cente8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

51704 Highway 438
Franklinton, LA 70438
Phone (985) 730-6700

NPI Registry JSON

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1023376183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51704 HIGHWAY 438",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "70438",
            "telephone_number": "985-848-9955",
            "fax_number": "985-848-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51704 HIGHWAY 438",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "70438",
            "telephone_number": "985-848-9955",
            "fax_number": "985-848-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A.THOMAS M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "DOKKA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "985-795-4147"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "LA",
            "license": "MD.015223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1321044",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "5DX93",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.