Thomas J Federico, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

065543 Issued in GA

Practice address

310 Gold Creek TRL
Suite 100
Woodstock, GA 30188-5435

Phone

(770) 926-9495

NPI assigned

Aug 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Physical Medicine and Rehabilitation

Education

Saint Louis University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Health Solutions, LLCGroup PAC ID 9335394170, 3 clinicians

Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Advanced Health Solutions, LLC

  • Physical Medicine & Rehabilitation Physician
  • Woodstock, GA
  • NPI 1003180563

  Family Medicine, GA

  Medicare reassignment Care Compare group NPD Authorized official
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156

  Family Medicine, GA

  Medicare reassignment Care Compare group NPD
• Advanta Medical & Physical Therapy

  • Physical Therapy Clinic/Center
  • Marietta, GA
  • NPI 1689701153
  NPD
• Advanta Medical & Physical Therapy PC

  • General Practice Physician
  • Marietta, GA
  • NPI 1609158096
  NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1114035243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 GOLD SPRINGS CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146333",
            "telephone_number": "407-697-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 GOLD CREEK TRL",
            "address_2": "SUITE 100",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301885435",
            "telephone_number": "770-926-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICO",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0047275",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "065543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "47762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Orthodontics of WS, LLC
• Family Renewal Counseling, LLC
• Zahra Farahani, DMD
• Mallory Clark Farmer
• Karen Feder, PT
• Federman Counseling & Psychotherapy, Inc
• Ilene Babs Federman, MSSW
• Brenda Felder
• Paola Felix-Cotto
• Femina Healthcare Inc.

• All providers in Woodstock, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.