Individual provider Active NPI

Nicole Theresia Mette, MD

  • Internal Medicine Physician
  • Thomasville, GA
National Provider Identifier
1316593262
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
95524 Issued in GA
Practice address
119 W Hill St
Thomasville, GA 31792-2803
Phone
(229) 225-1900
Fax
(229) 225-3455
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12149 GA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 95524 GA Primary

Addresses

Primary practice location

119 W Hill St
Thomasville, GA 31792-2803

Mailing address

119 W Hill St
Thomasville, GA 31792-2803
Phone (229) 225-1900

Other practice location 1

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1891

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230814000057 GA Practitioner - Internal Medicine 6608238324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group of Georgia LLCGroup PAC ID 4284951542, 454 clinicians

Practice addresses (Care Compare)

119 W Hill St
Thomasville, GA 31792-6618
Phone (770) 304-2220

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Bainbridge, GA, CCN 117151
  • Archbold Home Health Services Home health agency, Thomasville, GA, CCN 117024
  • Georgia Hospice Care Hospice, Albany, GA, CCN 111773
  • Hospice of Southwest Georgia Hospice, Thomasville, GA, CCN 111521
  • Archbold Memorial Hospital Hospital, Thomasville, GA, CCN 110038
  • Colquitt Regional Medical Center Hospital, Moultrie, GA, CCN 110105

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12149GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Aug 3, 2023 Accepting new patients
Privia Medical Group of Georgia LLC Internal Medicine CurrentSince Aug 3, 2023 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 262-7414

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

119 W Hill St
Thomasville, GA 31792
Phone (229) 225-1900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicole.mette.1@8042.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1316593262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W HILL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317922803",
            "telephone_number": "229-225-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W HILL ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317922803",
            "telephone_number": "229-225-1900",
            "fax_number": "229-225-3455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-633-1891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METTE",
        "first_name": "NICOLE",
        "middle_name": "THERESIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "12149",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "95524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.