Active NPI
Thomas Karisny MD PC
- Family Medicine Physician
- Blairsville, GA
National Provider Identifier
1134278187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 050029
- Legal business name
- THOMAS KARISNY MD PC
- Practice address
- 202 Hospital Rd
Blairsville, GA 30512-3139 - Phone
- (706) 745-2150
- Fax
- (706) 745-2053
- NPI assigned
- Jan 9, 2007
- Last updated
- Mar 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nicole Marie Karisny, M.D.
- Title
- Owner
- Phone
- (706) 745-1953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 050029 | GA | Primary |
Addresses
Primary practice location
202 Hospital Rd
Blairsville, GA 30512-3139
Mailing address
202 Hospital Rd
Blairsville, GA 30512-3134
Phone (706) 745-2150
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080173185 | Other | GA | MEDICARE RR |
| 336339 | Other | GA | WELLCARE |
| 4037911 | Other | GA | BCBS |
| 439513009 | Other | GA | CHAMPUS |
| 000912656A | Medicaid | GA | |
| 10045920 | Other | GA | AMERIA GROUP |
| 89064KT | Other | GA | NC MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
202 Hospital Rd
Blairsville, GA 30512
Phone (706) 745-2150
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Blairsville, GA
- NPI 1942457536
-
- Family Medicine Physician
- Blairsville, GA
- NPI 1861541898
-
- Family Nurse Practitioner
- Baldwin, GA
- NPI 1487186441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1269561600000",
"number": "1134278187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 HOSPITAL RD",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305123134",
"telephone_number": "706-745-2150",
"fax_number": "706-745-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 HOSPITAL RD",
"city": "BLAIRSVILLE",
"state": "GA",
"postal_code": "305123139",
"telephone_number": "706-745-2150",
"fax_number": "706-745-2053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS KARISNY MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-09",
"last_updated": "2010-03-26",
"status": "A",
"authorized_official_last_name": "KARISNY",
"authorized_official_first_name": "NICOLE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-745-1953",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "050029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "080173185",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "336339",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4037911",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "439513009",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000912656A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIA GROUP",
"identifier": "10045920",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC MEDICAID",
"identifier": "89064KT",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Blairsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.