Individual provider Active NPI

Tommy D Thomas, PAC

  • Surgical Physician Assistant
  • Greenville, SC
National Provider Identifier
1083649370
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
866 Issued in SC
Practice address
200 Patewood Dr
Ste C 100
Greenville, SC 29615-3593
Phone
(864) 454-7422
Fax
(864) 454-7374
NPI assigned
Jul 12, 2006
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 866 SC Primary

Addresses

Primary practice location

200 Patewood Dr
Ste C 100
Greenville, SC 29615-3593

Mailing address

1 Independence PT
Suite 212
Greenville, SC 29615-4545
Phone (864) 797-6044

Other identifiers 2

IdentifierTypeStateIssuer
P00802365OtherSCRR MEDICARE
0050PAMedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000052 SC Practitioner - Physician Assistant 6305817099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Medical Ctr Dr
Hardeeville, SC 29927-3446
Phone (843) 689-8149

25 Hospital Ctr Blvd
Hilton Head, SC 29926-2738
Phone (843) 689-8149

75 Baylor Dr
Bluffton, SC 29910-8965

8 Hospital Ctr Blvd
Hilton Head, SC 29926-8701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.72 of 100Reported as group
Quality
63.11
Promoting interoperability
100
Improvement activities
40
Cost
69.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
866SCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Health University Medical Group CurrentSince Jan 1, 2010 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Hilton Head Regional Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Orthopedic Associates of the Lowcountry, LLC CurrentSince Aug 30, 2013 Accepting new patients
Hilton Head Regional Physician Group LLC Past Accepting new patients
Orthopaedic Specialists of Charleston Past Accepting new patients
Greenville Health System Past Accepting new patients

Locations

75 Baylor Dr
Ste 155A
Bluffton, SC 29910

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

200 Patewood Dr
Ste C100
Greenville, SC 29615
Phone (864) 454-7422

2A Cleveland Ct
Greenville, SC 29607
Phone (864) 271-7761

22 Bethea Dr
Hilton Head Island, SC 29926
Phone (843) 681-1935

25 Hospital Ctr
Ste 300
Hilton Head Island, SC 29926
Phone (843) 681-8203

8 Hospital Center Blvd
Ste 110
Hilton Head Island, SC 29926
Phone (843) 681-4771

8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740

40 Okatie Center Blvd S
Ste 2003
Okatie, SC 29909
Phone (843) 705-8598

719A SE Main St
Simpsonville, SC 29681
Phone (864) 967-9000

807 N Main St
Travelers Rst, SC 29690
Phone (864) 834-5132

Interoperability endpoints

  • Direct secure messaging: tommy.thomas.1@30548.direct.athenahealth.com
  • Direct secure messaging: tommy.thomas.p23@direct.tenet.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1083649370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT",
            "address_2": "SUITE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154545",
            "telephone_number": "864-797-6044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PATEWOOD DR",
            "address_2": "STE C 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153593",
            "telephone_number": "864-454-7422",
            "fax_number": "864-454-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TOMMY",
        "middle_name": "D",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00802365",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050PA",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.