Individual provider Active NPI

Tomas J Chao, PA

  • Medical Physician Assistant
  • Woodstock, GA
National Provider Identifier
1316003577
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
3497 Issued in GA
Practice address
100 Stoneforest Dr
Suite 320
Woodstock, GA 30189-4880
Phone
(770) 516-5199
Fax
(770) 516-5188
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 3497 GA Primary

Addresses

Primary practice location

100 Stoneforest Dr
Suite 320
Woodstock, GA 30189-4880

Mailing address

100 Stoneforest Dr
Suite 320
Woodstock, GA 30189-4880
Phone (770) 516-5199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080107000578 GA Practitioner - Physician Assistant 1456458504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanta North Dermatology and Skin Care, Inc.Group PAC ID 0648346726, 8 clinicians

Practice addresses (Care Compare)

100 Stoneforest Dr
Suite 320
Woodstock, GA 30189-4881
Phone (770) 516-5199

Merit-based Incentive Payment System (MIPS)

Final score
70.39 of 100Reported as individual
Quality
40.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3497GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of West Atlanta, P.C. Past Accepting new patients

Organizations & group practices 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431993600000",
    "number": "1316003577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR",
            "address_2": "SUITE 320",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894880",
            "telephone_number": "770-516-5199",
            "fax_number": "770-516-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 STONEFOREST DR",
            "address_2": "SUITE 320",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894880",
            "telephone_number": "770-516-5199",
            "fax_number": "770-516-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "TOMAS",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2015-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "3497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

Verify at the official NPI Registry.