Dorothy Bre'Anna D Thomas, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Macon, GA
NPI 1104298900 · NPPES record last updated Mar 10, 2016
Key facts
- NPI
- 1104298900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN203268 (GA)
- Practice address
- 841 Mulberry St
Macon, GA 31201-6756 - Phone
- (478) 741-6554
- NPI assigned
- Oct 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Peachtree Immediate Care FP, LLC
Practice addresses (Care Compare)
782 Sr
Suite 96
Bonaire, GA 31005-9999
Phone (478) 273-3065
Hospital & facility affiliations
- Emory Houston Hospital Warner Robins
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160311001874 | GA | Practitioner - Nurse Practitioner | 3779889035 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN203268 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accordia Healthcare LLC | Current |
Accepting new patients | |
| Omni Health Solutions LLC | Current |
Accepting new patients | |
| Community Care Health Network LLC | Current |
Accepting new patients | |
| Peachtree Immediate Care FP, LLC | Current |
Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684
590 Lanier Ave W
Fayetteville, GA 30214
1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
841 Mulberry St
Macon, GA 31201
Phone (478) 741-1192
3193 E 1st St
Vidalia, GA 30474
Phone (912) 537-8588
1205 Russell Pkwy
Warner Robins, GA 31088
Phone (478) 302-5729
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN203268 | GA | Yes |
Addresses
Primary practice location
841 Mulberry St
Macon, GA 31201-6756
Mailing address
841 Mulberry St
Macon, GA 31201-6756
Phone (478) 741-6554
Other providers in Macon, GA
- Larry Verdell Thigpen
- Thomas C Jones, M.D., P.C.
- Yolanda Thomas-Bean
- Alvarez Thomas
- Clarice J Thomas
- Ellen Thomas
- Erika Jones Thomas
- Haley Thomas
- Karen Thomas
- Larry Thomas Jr.
All providers in Macon, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.