Individual provider Active NPI

Allison Lee Thomas, NURSE PRACTITIONER

  • Nurse Practitioner
  • Raleigh, NC
National Provider Identifier
1235434739
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5004732 Issued in NC
Practice address
5838 Six Forks Rd Ste 100
Raleigh, NC 27609-3893
Phone
(919) 785-3400
Fax
(919) 783-7778
NPI assigned
Jan 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5004732 NC Primary
Pain Medicine Physician 208VP0000X 194558 NC
Adult Health Nurse Practitioner 363LA2200X 5004732 NC

Addresses

Primary practice location

5838 Six Forks Rd Ste 100
Raleigh, NC 27609-3893

Mailing address

PO Box 63082
Charlotte, NC 28263-3082
Phone (919) 785-3400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110203000524 NC Practitioner - Nurse Practitioner 9133309446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Neurosurgical Clinic IncGroup PAC ID 1759315500, 52 clinicians

Practice addresses (Care Compare)

2605 Hospital Rd
Goldsboro, NC 27534-9424
Phone (919) 785-3400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004732NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Sep 26, 2022 Accepting new patients
East Carolina Anesthesia Associates, PLLC CurrentSince Sep 19, 2016 Accepting new patients
Raleigh Neurosurgical Clinic, Inc. CurrentSince Sep 26, 2022 Accepting new patients

Locations

2109 Valleygate Dr
Ste 201
Fayetteville, NC 28304
Phone (910) 486-8880

2605 Hospital Rd
Goldsboro, NC 27534
Phone (919) 741-7502

2607 Medical Office Pl
Goldsboro, NC 27534
Phone (919) 330-1941

2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

3700 Symi Cir
Morehead City, NC 28557
Phone (252) 222-5888

5838 Six Forks Rd
Ste 100
Raleigh, NC 27609

110 Turner St
Southern Pines, NC 28387
Phone (910) 725-0361

110 Capcom Ave
Ste 200
Wake Forest, NC 27587
Phone (919) 229-4046

4130 Oleander Dr
Ste 100
Wilmington, NC 28403
Phone (910) 200-5242

2410 Montgomery Dr SW
Wilson, NC 27893
Phone (252) 291-5940

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1294963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1235434739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63082",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633082",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5838 SIX FORKS RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093893",
            "telephone_number": "919-785-3400",
            "fax_number": "919-783-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALLISON",
        "middle_name": "LEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-14",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5004732",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "194558",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5004732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.