Active NPI
Terisa a Thomas MD PC
- Specialist
- Gadsden, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 23391
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Terisa Ann Thomas, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529917180 | Medicaid | AL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Specialist
- Gadsden, AL
- NPI 1336246321
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.