Individual provider Active NPI

Alisha Nicole Thomas, FNP-C

  • Family Nurse Practitioner
  • Fort Valley, GA
National Provider Identifier
1124535836
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN-250642 Issued in GA
Practice address
201 Avera Dr
Fort Valley, GA 31030-5008
Phone
(478) 825-3317
Fax
(478) 825-5499
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN-250642 GA Primary

Addresses

Primary practice location

201 Avera Dr
Fort Valley, GA 31030-5008

Mailing address

5261 Greenwood Ter
Macon, GA 31206-4341
Phone (229) 483-1463

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
I20180504000025 GA Practitioner - Nurse Practitioner 7113281882 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patient First Medical Practice PC 33 clinicians

Practice addresses (Care Compare)

2850 Springdale Rd SW
Atlanta, GA 30315-7802
Phone (212) 734-6621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN-250642GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince May 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 25, 2024 Accepting new patients
Theramed Health, LLC CurrentSince Oct 14, 2018 Accepting new patients
Patient First Medical Practice PC CurrentSince Oct 1, 2024 Accepting new patients

Locations

3950 Cobb Pkwy NW
Ste 401
Acworth, GA 30101
Phone (404) 857-9575

2850 Springdale Rd SW
Atlanta, GA 30315
Phone (404) 616-8100

3250 Quick Water Lndg NW
Kennesaw, GA 30144
Phone (404) 857-9575

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1124535836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 GREENWOOD TER",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312064341",
            "telephone_number": "229-483-1463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVERA DR",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310305008",
            "telephone_number": "478-825-3317",
            "fax_number": "478-825-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALISHA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN-250642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Valley, GA

Sources for this page

Verify at the official NPI Registry.