Paula Sue Thibault, APRN NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN174649 Issued in GA

Practice address

3785 Sixes Rd
Canton, GA 30114-7809

Phone

(770) 720-3466

NPI assigned

Apr 11, 2012

Last updated

Sep 12, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Paula Sue Thibault Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Physician Associates, PC

  • Specialist
  • Canton, GA
  • NPI 1528496353
  NPD (past)
• MC Medical LLC

  • General Practice Physician
  • Dallas, GA
  • NPI 1356907695
  NPD (past)
• Superior Healthcare of Woodstock LLC

  • Specialist
  • Woodstock, GA
  • NPI 1154676161
  NPD (past)

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410480000000",
    "number": "1194082461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GOLD SPRINGS CT",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301146333",
            "telephone_number": "167-880-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3785 SIXES RD",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301147809",
            "telephone_number": "770-720-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBAULT",
        "first_name": "PAULA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "APRN NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-11",
        "last_updated": "2014-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN174649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "THIBAULT",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• The Kroger Co (Kroger Pharmacy)
• The Minick Clinic LLC (Inlign Chiropractic)
• The Surgery Center of Georgia, LLC (Advanced Surgery Center of Georgia,LLC)
• The Well Therapy, PLLC
• Therabeat, Inc.
• Meera Thirumal
• Janice Althia Thomas, FNP
• Jessica Monchele Thomas
• Megan Thomas, APRN
• Michael Raines Thomas

• Family Nurse Practitioner in Canton, GA
• Providers in Canton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.