Active NPI
Kelly Burton Thrasher, M.D.
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1215956495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 052491
- Practice address
- 5885 Glenridge Dr NE
Suite 200
Atlanta, GA 30328-5512 - Phone
- (404) 252-7526
- Fax
- (404) 851-1709
- NPI assigned
- Jul 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 052491 | GA | Primary |
Addresses
Primary practice location
5885 Glenridge Dr NE
Suite 200
Atlanta, GA 30328-5512
Mailing address
5885 Glenridge Dr NE
Suite 200
Atlanta, GA 30328-5512
Phone (404) 252-7526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Internal Medicine, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Atlanta, GA
- NPI 1851631949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369785600000",
"number": "1215956495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5885 GLENRIDGE DR NE",
"address_2": "SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285512",
"telephone_number": "404-252-7526",
"fax_number": "404-851-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5885 GLENRIDGE DR NE",
"address_2": "SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285512",
"telephone_number": "404-252-7526",
"fax_number": "404-851-1709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THRASHER",
"first_name": "KELLY",
"middle_name": "BURTON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-19",
"last_updated": "2013-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "052491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.