Active NPI
Thomas Duff, DO
- Emergency Medicine Physician
- Thomson, GA
National Provider Identifier
1295782563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 055000
- Practice address
- 521 Hill Street SW
Thomson, GA 30824 - Phone
- (706) 597-5302
- Fax
- (865) 291-3228
- NPI assigned
- May 30, 2006
- Last updated
- Apr 21, 2022
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 055000 | GA | Primary |
Addresses
Primary practice location
521 Hill Street SW
Thomson, GA 30824
Mailing address
PO Box 636019
Cincinnati, OH 45263-6019
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 667338672G | Medicaid | GA | |
| 667338672D | Medicaid | GA | |
| 667338672H | Medicaid | GA | |
| P00342771 | Other | GA | RAILROAD MEDICARE |
| P00227249 | Other | RAILROAD MEDICARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tduff145870@direct.wvuhsdirect.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | tduff145870@direct.wvuhsdirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1105 | SC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richbend Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| Summers Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Beckley Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Webster County Memorial Hospital | Current | Accepting new patients | |
| Health Care Alliance, Inc. | Emergency Medicine | Current | Accepting new patients |
| West Virginia Health Care Cooperative Inc | Past | Accepting new patients | |
| Hartwell Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| West Virginia Em-I Medical Services | Emergency Medicine | Past | Accepting new patients |
| Beaufort Emergency Medicine, PA | Emergency Medicine | Past | Accepting new patients |
| Burke Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Jesup Emergency Services, LLC | Emergency Medicine | Past | Accepting new patients |
| McCabe Medical Group LLC | Emergency Medicine | Past | Accepting new patients |
| Acs Primary Care Physicians - Southeast PC | Emergency Medicine | Past | Accepting new patients |
| Sterling Emergency Services of the Southeast Inc | Emergency Medicine | Past | Accepting new patients |
Locations
306 Stanaford Rd
Beckley, WV 25801
Phone (304) 255-3373
115 Summers Hospital Rd
Hinton, WV 25951
Phone (304) 466-2918
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Interoperability endpoints
- thomasd@wcmhwv.securechart.com
Organizations & group practices 14
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.
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- NPI 1093438830
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- Emergency Medicine Physician
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- NPI 1225243702
-
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- NPI 1699778704
-
- Emergency Medicine Physician
- Waynesboro, GA
- NPI 1699701367
-
- Emergency Medicine Physician
- Jesup, GA
- NPI 1699733832
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- NPI 1710069083
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- NPI 1861430555
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1659460004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650499200000",
"number": "1295782563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636019",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452636019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 HILL STREET SW",
"city": "THOMSON",
"state": "GA",
"postal_code": "30824",
"telephone_number": "706-597-5302",
"fax_number": "865-291-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUFF",
"first_name": "THOMAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2022-04-21",
"certification_date": "2022-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "055000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "667338672G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "667338672D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "667338672H",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00342771",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00227249",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tduff145870@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Fairview Heights Rd",
"city": "Summersville",
"state": "WV",
"country_code": "US",
"postal_code": "266519308",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tduff145870@direct.wvuhsdirect.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "400 Fairview Heights Rd",
"city": "Summersville",
"state": "WV",
"country_code": "US",
"postal_code": "266519308",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Thomson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.