Active NPI
Judy Ann Thomas
- Behavior Technician
- Columbus, GA
National Provider Identifier
1326516261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2100 Comer Ave
Columbus, GA 31904-8725 - Phone
- (706) 324-4061
- NPI assigned
- Nov 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | GA | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2100 Comer Ave
Columbus, GA 31904-8725
Mailing address
3771 Stefani Rd
Cantonment, FL 32533-7795
Phone (850) 607-6910
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58-2108870 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1326516261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3771 STEFANI RD",
"city": "CANTONMENT",
"state": "FL",
"postal_code": "325337795",
"telephone_number": "850-607-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 COMER AVE",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048725",
"telephone_number": "706-324-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JUDY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "58-2108870",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.