Individual provider Active NPI

Tessie Thomas, DO

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1053417949
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55574 Issued in GA
Practice address
30 Warren St SE
Atlanta, GA 30317-2267
Phone
(404) 616-9304
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

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 55574 GA Primary

Addresses

Primary practice location

30 Warren St SE
Atlanta, GA 30317-2267

Mailing address

2870 Pharr Court South NW
Unit 1707
Atlanta, GA 30305-2174
Phone (215) 806-6500

Other practice location 1

4250 Brownsville Rd
Powder Springs, GA 30127-2559
Phone (678) 567-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tthomas140298@directwellstar.org

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
I20050105000685 GA Practitioner - Family Practice 2365490463 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians
Piedmont Athens Primary Care LLCGroup PAC ID 0648520841, 80 clinicians

Practice addresses (Care Compare)

105 Collier Rd NW
Suite 5020
Atlanta, GA 30309-1731
Phone (404) 367-3210

120 Hawthorne Park
Athens, GA 30606-2147
Phone (706) 353-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221339NYMDRegistered Nurse
55574GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Medical Care Corporation Family Medicine CurrentSince Mar 1, 2013 Accepting new patients
Northside Urgent Care Holding, LLC CurrentSince Apr 1, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Aug 23, 2013 Accepting new patients
Piedmont Athens Primary Care LLC Family Medicine CurrentSince Jan 16, 2023 Accepting new patients
Grady Memorial Hospital Corporation Family Medicine CurrentSince Aug 23, 2013 Accepting new patients
Piedmont Providers LLC Past Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients
The Southeast Permanente Medical Group Family Medicine Past Accepting new patients

Locations

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

120 Hawthorne Park
Athens, GA 30606
Phone (706) 353-8700

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

30 Warren St SE
Atlanta, GA 30317
Phone (404) 370-7360

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

105 Collier Rd NW
Ste 2070
Atlanta, GA 30309
Phone (404) 350-3860

81 Northside Dawson Dr
Ste 100A
Dawsonville, GA 30534
Phone (706) 216-6000

55 Sims St
McDonough, GA 30253
Phone (770) 957-3922

11685 Alpharetta Hwy
Ste 150A
Roswell, GA 30076
Phone (770) 555-5555

1351 Stonebridge Pkwy
Bldg 105
Watkinsville, GA 30677
Phone (706) 433-2019

Organizations & group practices 9

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 3

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1053417949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 PHARR COURT SOUTH NW",
            "address_2": "UNIT 1707",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052174",
            "telephone_number": "215-806-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 WARREN ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303172267",
            "telephone_number": "404-616-9304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Brownsville Rd",
            "address_purpose": "LOCATION",
            "city": "Powder Springs",
            "state": "GA",
            "postal_code": "301272559",
            "country_code": "US",
            "telephone_number": "678-567-8000",
            "fax_number": "770-439-3555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TESSIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "55574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tthomas140298@directwellstar.org",
            "affiliation": "N",
            "address_1": "4250 Brownsville Rd",
            "city": "Powder Springs",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301272559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.