Active NPI
Steven S Thomas, M.D.
- Dermatology Physician
- Tucker, GA
National Provider Identifier
1235157348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 21834
- Practice address
- 2185 Northlake Pkwy
Suite 104
Tucker, GA 30084-4126 - Phone
- (770) 934-7200
- Fax
- (770) 934-7243
- NPI assigned
- Jul 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 21834 | GA | Primary |
Addresses
Primary practice location
2185 Northlake Pkwy
Suite 104
Tucker, GA 30084-4126
Mailing address
2185 Northlake Pkwy
Suite 104
Tucker, GA 30084-4126
Phone (770) 934-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 029499 | Other | BLUE CROSS/BS | |
| 00282884C | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151229000984 | NC | Order and Referring Only - Dermatology | 9032201082 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21834 | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steven S. Thomas, MD, P.C. | Dermatology | 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 and National Provider Directory roles.
-
- Dermatology Physician
- Tucker, GA
- NPI 1467741801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235157348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2185 NORTHLAKE PKWY",
"address_2": "SUITE 104",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844126",
"telephone_number": "770-934-7200",
"fax_number": "770-934-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2185 NORTHLAKE PKWY",
"address_2": "SUITE 104",
"city": "TUCKER",
"state": "GA",
"postal_code": "300844126",
"telephone_number": "770-934-7200",
"fax_number": "770-934-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "STEVEN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "21834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BS",
"identifier": "029499",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00282884C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.