Individual provider Active NPI

Charmaine Betty Thomas, FNP-C

  • Nurse Practitioner
  • Rome, GA
National Provider Identifier
1104096304
Registry record updated Aug 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN163447 Issued in GA
Practice address
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone
(706) 509-3278
Fax
(706) 292-7600
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN163447 GA Primary

Addresses

Primary practice location

304 Turner McCall Blvd SW
Rome, GA 30165-5621

Mailing address

304 Turner McCall Blvd
Rome, GA 30162-0233
Phone (706) 509-3278

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cthomas@fmc.gwdirect.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000175 GA Practitioner - Nurse Practitioner 6709935059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

1025 N Main St
Cedartown, GA 30125-2036
Phone (770) 748-5212

123 Three Rivers Nedr
Rome, GA 30161-2300
Phone (706) 295-3961

Merit-based Incentive Payment System (MIPS)

Final score
98.9 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floyd Healthcare Management Inc CurrentSince May 1, 2013 Accepting new patients
Floyd Healthcare Management Inc CurrentSince May 1, 2013 Accepting new patients

Locations

251 Highway 53 E
Calhoun, GA 30701
Phone (706) 602-8200

1328 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (770) 382-0029

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

2370 Rockmart Hwy
Ste 100
Cedartown, GA 30125
Phone (770) 748-7818

1650 Chattahoochee Dr
Rockmart, GA 30153
Phone (770) 684-6100

304 Shorter Ave NW
Ste 102
Rome, GA 30165
Phone (706) 233-9349

304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000

302 Shorter Ave NW
Rome, GA 30165
Phone (706) 291-3700

330 Turner McCall Blvd SW
Ste 107
Rome, GA 30165
Phone (706) 509-6439

123 Three Rivers Dr NE
Rome, GA 30161
Phone (706) 295-3961

304 Shorter Ave NW
Ste 103
Rome, GA 30165
Phone (706) 233-8375

11766 Highway 27
Summerville, GA 30747
Phone (706) 857-1010

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1104096304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301620233",
            "telephone_number": "706-509-3278",
            "fax_number": "706-292-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 TURNER MCCALL BLVD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301655621",
            "telephone_number": "706-509-3278",
            "fax_number": "706-292-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHARMAINE",
        "middle_name": "BETTY",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN163447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cthomas@fmc.gwdirect.com",
            "affiliation": "N",
            "address_1": "304 Turner McCall Blvd SW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301655621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.