Individual provider Active NPI

Margaret Anna Thomas, FNP-C

  • Family Nurse Practitioner
  • Jasper, TN
National Provider Identifier
1306491246
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN195589 Issued in GA
Practice address
4300 Main St
Jasper, TN 37347-1109
Phone
(423) 651-1696
Fax
(423) 651-1697
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000026177 TN
Family Nurse Practitioner 363LF0000X RN195589 GA Primary

Addresses

Primary practice location

4300 Main St
Jasper, TN 37347-1109

Mailing address

2768 Forest Rd
Chattanooga, TN 37406-1109
Phone (770) 713-5302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191021002077 TN Practitioner - Nurse Practitioner 1355673567 Reassigns benefits to 4 organizations
I20201130000204 GA Practitioner - Nurse Practitioner 1355673567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians
En LLCGroup PAC ID 4385989557, shared by 2 NPIs, 16 clinicians

Practice addresses (Care Compare)

1521 Gunbarrel Rd
Suite 103
Chattanooga, TN 37421-3124
Phone (423) 458-1426

1635 Gunbarrel Rd
Suite 110
Chattanooga, TN 37421-4983
Phone (423) 541-5102

4312 Holiday Inn Express Way NW
Cleveland, TN 37312-1469
Phone (423) 331-5200

6982 Nashville St
Ringgold, GA 30736-2420
Phone (706) 841-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN195589GAMDFamily Nurse Practitioner
APN0000026177TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 9, 2019 Accepting new patients
En LLC CurrentSince Dec 12, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 9, 2019 Accepting new patients
En LLC CurrentSince Nov 30, 2020 Accepting new patients

Locations

6982 Nashville St
Ringgold, GA 30736
Phone (423) 531-1330

1635 Gunbarrel Rd
Ste 110
Chattanooga, TN 37421
Phone (423) 541-5102

325 Market St
Ste 102
Chattanooga, TN 37402

4300 Main St
Jasper, TN 37347
Phone (423) 651-1696

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1306491246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2768 FOREST RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374061109",
            "telephone_number": "770-713-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MAIN ST",
            "city": "JASPER",
            "state": "TN",
            "postal_code": "373471109",
            "telephone_number": "423-651-1696",
            "fax_number": "423-651-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARGARET",
        "middle_name": "ANNA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000026177",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN195589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, TN

Sources for this page

Verify at the official NPI Registry.