Anthony C Thorne
Individual provider Active NPI Physician Assistant · Atlanta, GA
NPI 1285304543 · NPPES record last updated Sep 17, 2021
Key facts
- NPI
- 1285304543
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 3101 Druid Hills Reserve Dr NE # 3101
Atlanta, GA 30329-2041 - Phone
- (912) 548-3043
- NPI assigned
- Sep 17, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231218001197 | GA | Practitioner - Physician Assistant | 2769831692 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bca Georgia, LLC | Current |
Accepting new patients |
Locations
1850 N Columbia St
Ste 3
Milledgeville, GA 31061
Phone (478) 453-4101
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
3101 Druid Hills Reserve Dr NE # 3101
Atlanta, GA 30329-2041
Mailing address
3101 Druid Hills Reserve Dr NE # 3101
Atlanta, GA 30329-2041
Phone (912) 548-3043
Other providers in Atlanta, GA
- Hong Thong
- Tommy Thong
- Patrick George Thorbourne
- James Lowell Thorndike
- Ann Lockard Thorne
- Gracie Thorne
- Sherrie Charmaine Thornhill
- Amber Janay Thornton
- Antoinette Numital Thornton
- Ayana Aqila Thornton
All providers in Atlanta, GA · Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.