Active NPI
Michael Leroy Thomas Sr., CPS
- Peer Specialist
- Columbus, GA
National Provider Identifier
1083323083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 6101 Trestlewood Dr Apt B
Columbus, GA 31909-2968 - Phone
- (706) 596-5500
- NPI assigned
- Nov 17, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OH | Primary |
Addresses
Primary practice location
6101 Trestlewood Dr Apt B
Columbus, GA 31909-2968
Mailing address
2100 Comer Ave
Columbus, GA 31904-8725
Phone (706) 596-5500
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1083323083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-596-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 TRESTLEWOOD DR APT B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319092968",
"telephone_number": "706-596-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "MICHAEL",
"middle_name": "LEROY",
"name_suffix": "Sr.",
"credential": "CPS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.