Individual provider Active NPI

Jessica Je'Nae Thomas, NP

  • Family Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1104264183
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN206683 Issued in GA
Practice address
280 Cobb Pkwy SE
Suite 60
Marietta, GA 30060
Phone
(678) 820-7373
Fax
(415) 252-7176
NPI assigned
Jun 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN828608 GA
Family Nurse Practitioner 363LF0000X RN206683 GA Primary

Addresses

Primary practice location

280 Cobb Pkwy SE
Suite 60
Marietta, GA 30060

Mailing address

1 Embarcadero Ctr FL 19
San Francisco, CA 94111-3628
Phone (415) 658-6791

Other practice location 1

8052 Mall Pkwy Ste 202
Lithonia, GA 30038-2649
Phone (404) 508-2000

Other practice location 2

5295 Stone Mountain Hwy Ste N
Stone Mountain, GA 30087-3439
Phone (404) 508-2000

Other practice location 3

101 Lexington Cir
Peachtree City, GA 30269-6845
Phone (770) 486-1639

Other practice location 4

2675 N Decatur Rd
Suite 512
Decatur, GA 30033-6131
Phone (404) 508-5012

Other practice location 5

2633 N Decatur Rd
Decatur, GA 30033-6103
Phone (404) 508-2000

Other practice location 6

1458 Church St Ste B
Decatur, GA 30030-1672
Phone (404) 508-5012

Other identifiers 1

IdentifierTypeStateIssuer
003144453CMedicaidGA

Other names 1

  • Jessica Je'Nae Miller Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL n/a Direct

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
I20140320001518 GA Practitioner - Nurse Practitioner 1951541382 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iora Health Georgia PCGroup PAC ID 1850644394, 27 clinicians

Practice addresses (Care Compare)

280 Cobb Pkwy SE
Suite 60
Marietta, GA 30060-6501
Phone (678) 820-7373

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN828608GAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Health Georgia, P.C. CurrentSince Aug 25, 2025 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Health Georgia, P.C. Current Accepting new patients
Iora Senior Health, LLC CurrentSince Aug 25, 2025 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Iora Senior Health, LLC CurrentSince Aug 25, 2025 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Dekalb Women'S Specialists 2 LLC Past Accepting new patients
Dekalb Women'S Specialists Past Accepting new patients
Dekalb Women'S Specialists Past Accepting new patients

Locations

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

3890 Redwine Rd SW
Ste 100
Atlanta, GA 30331
Phone (404) 344-0059

3527 Memorial Dr
Unit W
Decatur, GA 30032
Phone (404) 573-4844

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

280 Cobb Pkwy S
Ste 60
Marietta, GA 30060
Phone (678) 820-7373

4441 Atlanta Rd SE
Ste 216
Smyrna, GA 30080
Phone (470) 956-4120

Interoperability endpoints

  • Direct secure messaging: jthomas403397@directwellstar.org

Organizations & group practices 11

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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1104264183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR FL 19",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113628",
            "telephone_number": "415-658-6791",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 COBB PKWY SE",
            "address_2": "SUITE 60",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30060",
            "telephone_number": "678-820-7373",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8052 Mall Pkwy Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lithonia",
            "state": "GA",
            "postal_code": "300382649",
            "country_code": "US",
            "telephone_number": "404-508-2000",
            "fax_number": "404-377-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5295 Stone Mountain Hwy Ste N",
            "address_purpose": "LOCATION",
            "city": "Stone Mountain",
            "state": "GA",
            "postal_code": "300873439",
            "country_code": "US",
            "telephone_number": "404-508-2000",
            "fax_number": "404-377-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Lexington Cir",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302696845",
            "country_code": "US",
            "telephone_number": "770-486-1639",
            "fax_number": "770-486-1639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2675 N Decatur Rd",
            "address_2": "Suite 512",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300336131",
            "country_code": "US",
            "telephone_number": "404-508-5012",
            "fax_number": "770-484-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 N Decatur Rd",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300336103",
            "country_code": "US",
            "telephone_number": "404-508-2000",
            "fax_number": "404-377-0550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1458 Church St Ste B",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300301672",
            "country_code": "US",
            "telephone_number": "404-508-5012",
            "fax_number": "404-508-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JESSICA",
        "middle_name": "JE'NAE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "GA",
            "license": "RN828608",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN206683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003144453C",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "n/a",
            "affiliation": "N",
            "endpointDescription": "n/a",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "101 Lexington Cir",
            "city": "Peachtree City",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302696845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MILLER",
            "middle_name": "JE'NAE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.