Individual provider Active NPI

Catherine M Thomas, M.D.

  • Internal Medicine Physician
  • Hattiesburg, MS
National Provider Identifier
1093796500
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17738 Issued in MS
Practice address
66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone
(601) 544-7500
Fax
(601) 544-7524
NPI assigned
Nov 10, 2005
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17738 MS Primary

Addresses

Primary practice location

66 Old Airport Rd
Hattiesburg, MS 39401-8382

Mailing address

PO Box 1729
Hattiesburg, MS 39403-1729
Phone (601) 545-8700

Other identifiers 4

IdentifierTypeStateIssuer
11349864OtherMSCAQH ID NUMBER
1741356OtherMSUNITED HEALTH CARE PROVIDER I D NUMBER
00126802MedicaidMS
7445541OtherMSAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20100728000072 MS Practitioner - Internal Medicine 9335272335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

66 Old Airport Rd
Hattiesburg, MS 39401-8382
Phone (601) 544-7500

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sumrall Family Health Center CurrentSince Oct 1, 2001 Accepting new patients
Hattiesburg Community Dental Center CurrentSince Oct 1, 2001 Accepting new patients
Picayune Family Health Center Past Accepting new patients
Hattiesburg Public School and Community Clinic Past Accepting new patients
Lumberton Family Health Center Past Accepting new patients
Minor Care Clinic Past Accepting new patients
N R Burger School and Community Clinic Past Accepting new patients
Southeast Mississippi Rural Health Initiative, Inc. Past Accepting new patients
Brooklyn Family Health Center Past Accepting new patients
Lamar County School Clinic Past Accepting new patients
Semrhi Mobile Healthcare Unit Past Accepting new patients
Hattiesburg High School and Community Clinic Past Accepting new patients
Beaumont Family Health Center Past Accepting new patients
Women's Health Center Past Accepting new patients
Seminary Family Health Center Past Accepting new patients
New Augusta Family Health Center Past Accepting new patients
Petal School Clinic Past Accepting new patients

Locations (25 of 45)

215 Old Highway 49 E
Brooklyn, MS 39425
Phone 60154587002217

44 Brooklyn Janice Rd
Brooklyn, MS 39425
Phone (601) 582-1188

8 Burborne St
Brooklyn, MS 39425
Phone (601) 545-7714

10 Archie Smith Rd
Hattiesburg, MS 39402
Phone (601) 268-2217

123 S 27th Ave
Hattiesburg, MS 39401
Phone (601) 450-3030

1760 Old Highway 24
Hattiesburg, MS 39402
Phone (601) 264-6724

2006 Oferral St
Hattiesburg, MS 39401
Phone (601) 583-8112

2207 W 7th St
Hattiesburg, MS 39401
Phone (601) 450-6500

2543 Old Highway 24
Hattiesburg, MS 39402
Phone (601) 264-4634

2900 Jamestown Rd
Hattiesburg, MS 39402
Phone (601) 255-2660

301 Hutchinson Ave
Hattiesburg, MS 39401
Phone (601) 450-6101

316 Travillion Rd
Hattiesburg, MS 39401
Phone (601) 584-9303

404 Lillie Burney St
Hattiesburg, MS 39401
Phone (601) 450-6500

500 Martin Luther King Ave
Hattiesburg, MS 39401
Phone (601) 583-0960

5198 Old Highway 11
Hattiesburg, MS 39402
Phone (601) 264-7232

526 Forrest St
Hattiesburg, MS 39401
Phone (601) 583-4311

5279 W 4th St
Hattiesburg, MS 39402
Phone (601) 264-3858

605 Stadium Dr
Hattiesburg, MS 39401
Phone (601) 450-0310

62 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-4550

66 Old Airport Rd
Hattiesburg, MS 39401
Phone (601) 544-7500

693 Eatonville Rd
Hattiesburg, MS 39401
Phone 60125526602217

70 Leaf Ln
Hattiesburg, MS 39402
Phone (601) 264-9764

702 Eatonville Rd
Hattiesburg, MS 39401

790 Elks Lake Rd
Hattiesburg, MS 39401
Phone (601) 582-4890

901 Ida Ave
Hattiesburg, MS 39401
Phone (601) 582-5291

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: cthomas101585@directpatientrecord.com

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1093796500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394031729",
            "telephone_number": "601-545-8700",
            "fax_number": "601-456-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 OLD AIRPORT RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394018382",
            "telephone_number": "601-544-7500",
            "fax_number": "601-544-7524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "17738",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID NUMBER",
            "identifier": "11349864",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PROVIDER I D NUMBER",
            "identifier": "1741356",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00126802",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7445541",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.