NPIMap

Individual provider Active NPI

Thomas Aaron Buice, M.D.

  • Family Medicine Physician
  • Barnesville, GA
National Provider Identifier
1194754648
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
051758 Issued in GA
Practice address
522 Greenwood St
Ste a
Barnesville, GA 30204-1554
Phone
(770) 872-3663
Fax
(770) 872-3665
NPI assigned
Jun 30, 2006
Last updated
Nov 1, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 051758 GA Primary

Addresses

Primary practice location

522 Greenwood St
Ste a
Barnesville, GA 30204-1554

Mailing address

522 Greenwood St
Ste a
Barnesville, GA 30204-1554
Phone (770) 872-3663

Other identifiers 2

IdentifierTypeStateIssuer
000962255BMedicaidGA
200717378OtherGATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040803000721 GA Practitioner - Family Practice 2668442823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Yorktown Dr
Fayetteville, GA 30214-1578

101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285

522 Greenwood St
Barnesville, GA 30204-1554
Phone (770) 872-3663

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051758GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jul 12, 2024 Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jul 12, 2024 Accepting new patients
Privia Medical Group, LLC Family Medicine Past Accepting new patients

Locations

522 Greenwood St
Ste A
Barnesville, GA 30204
Phone (770) 872-3663

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: thomas.buice.1@8042.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Eternal Hope HospiceGriffin, GA, CCN 111691 Hospice Contracted Managing Employee Dec 1, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1194754648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 GREENWOOD ST",
            "address_2": "STE A",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041554",
            "telephone_number": "770-872-3663",
            "fax_number": "770-872-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 GREENWOOD ST",
            "address_2": "STE A",
            "city": "BARNESVILLE",
            "state": "GA",
            "postal_code": "302041554",
            "telephone_number": "770-872-3663",
            "fax_number": "770-872-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUICE",
        "first_name": "THOMAS",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "051758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000962255B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "200717378",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnesville, GA

Sources for this page

Verify at the official NPI Registry.