Organization Active NPI

Terisa a Thomas MD PC

  • Specialist
  • Gadsden, AL
National Provider Identifier
1174781447
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23391 Issued in AL
Legal business name
TERISA A THOMAS MD PC
Practice address
303 Bay St Ste 202
Gadsden, AL 35901-5203
Phone
(256) 549-0067
NPI assigned
May 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Terisa Ann Thomas, MDNPI 1336246321
Title
Owner
Phone
(256) 549-0067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 23391 AL Primary

Addresses

Primary practice location

303 Bay St Ste 202
Gadsden, AL 35901-5203

Mailing address

303 Bay St Ste 202
Gadsden, AL 35901-5203
Phone (256) 549-0067

Other identifiers 1

IdentifierTypeStateIssuer
529917180MedicaidAL

National Provider Directory

National Provider Directory

Locations

800 Goodyear Ave
#B
Gadsden, AL 35903
Phone (256) 549-0067

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1174781447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 BAY ST STE 202",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015203",
            "telephone_number": "256-549-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BAY ST STE 202",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359015203",
            "telephone_number": "256-549-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERISA A THOMAS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TERISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-549-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "23391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917180",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.