Cassandra Faye Thomas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13653 Issued in MS

Practice address

514C E Woodrow Wilson Ave
Jackson, MS 39216-4538

Phone

(601) 981-7198

Fax

(601) 981-6616

NPI assigned

Oct 16, 2006

Last updated

Aug 13, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Cassandra F Thomas

  dba Central Jackson Family Clinic

  • Medical Specialty Clinic/Center
  • Jackson, MS
  • NPI 1710280557
  Authorized official Same address or phone
• Central Jackson Family Medical Clinic

  • Medical Specialty Clinic/Center
  • Jackson, MS
  • NPI 1154549707

  Family Medicine

  NPD (past) Authorized official
• Drumright Medical Clinic, PLLC

  • Orthopaedic Surgery Physician
  • Drumright, OK
  • NPI 1386707230

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186963200000",
    "number": "1033299896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4610",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392964610",
            "telephone_number": "601-981-7198",
            "fax_number": "601-981-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514C E WOODROW WILSON AVE",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164538",
            "telephone_number": "601-981-7198",
            "fax_number": "601-981-6616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CASSANDRA",
        "middle_name": "FAYE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "13653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112137",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "CO3058",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CJFMC NPI",
            "identifier": "1154549707",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Thistle, MD
• Thomas P. Mills, M.D., PLLC (Digestive Healthcare Clinic)
• Aby Thomas, M.D.
• Amanda B Thomas
• Annette Thomas
• Charles Sumner Thomas, MD
• Christopher Thomas
• Devorah Thomas
• Ebony Thomas, LCSW
• Fameika Antoinette Thomas, LMSW

• Family Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Family Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.