Active NPI
Thea Katherine Nobles, PA-C
- Physician Assistant
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1851 Saint Mary Ave
Pensacola, FL 32501-1053 - Phone
- (850) 226-6801
- Fax
- (877) 413-5104
- NPI assigned
- Dec 20, 2021
- Last updated
- Sep 13, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1851 Saint Mary Ave
Pensacola, FL 32501-1053
Mailing address
PO Box 100174
Columbia, SC 29202-3174
Phone (864) 512-6140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11945 San Jose Blvd
Jacksonville, FL 32223-1627
Phone (904) 396-1725
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.79 of 100
- Quality
- 64.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4262 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Pain & Wellness LLC | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients | |
| North Florida Surgeons, PA | Current | Accepting new patients |
Locations
930 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 331-2930
930 Mar Walt Dr
Unit C
Fort Walton Beach, FL 32547
Phone (850) 431-6183
11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937
11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223
1851 Saint Mary Ave
Pensacola, FL 32501
4012 N 9th Ave
Pensacola, FL 32503
Phone (850) 444-4777
Interoperability endpoints
- thea.nobles.1@9109.direct.athenahealth.com
- tnobles51005@direct.anmedhealth.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Jacksonville, FL
- NPI 1912953290
-
dba NFS Florida Bone and Joint
- Orthopaedic Surgery Physician
- Gulf Breeze, FL
- NPI 1871442053
-
- Pain Medicine (Anesthesiology) Physician
- Dothan, AL
- NPI 1588288641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba Gulf Breeze Hospital
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1275293086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100174",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292023174",
"telephone_number": "864-512-6140",
"fax_number": "864-512-6149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 SAINT MARY AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011053",
"telephone_number": "850-226-6801",
"fax_number": "877-413-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLES",
"first_name": "THEA",
"middle_name": "KATHERINE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-20",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.