Active NPI
Thomas Norman Cheatham, M.D.
- Family Medicine Physician
- Bolling AFB, DC
National Provider Identifier
1053305235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- J6376
- Practice address
- 110 Luke Ave SW
Bolling AFB, DC 20032-6400 - Phone
- (703) 642-2312
- NPI assigned
- Sep 2, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | J6376 | TX | Primary |
Addresses
Primary practice location
110 Luke Ave SW
Bolling AFB, DC 20032-6400
Mailing address
4210 Cordell St
Annandale, VA 22003-3448
Phone (703) 642-2312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6376 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1053305235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4210 CORDELL ST",
"city": "ANNANDALE",
"state": "VA",
"postal_code": "220033448",
"telephone_number": "703-642-2312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 LUKE AVE SW",
"city": "BOLLING AFB",
"state": "DC",
"postal_code": "200326400",
"telephone_number": "703-642-2312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "THOMAS",
"middle_name": "NORMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "J6376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolling AFB, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.