Thacker & Thompson

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

GA024356 Issued in GA

Legal business name

THACKER & THOMPSON

Doing business as

Thacker, Thompson & Bernard

Practice address

619 Rankin St NE
Atlanta, GA 30308-2920

Phone

(404) 874-3102

Fax

(404) 874-4817

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Sheryl Vernon Thacker, MDNPI 1053454389

Title

Manager

Phone

(404) 874-3102

Specialties & licenses 1

Addresses

Other names 1

• Thacker, Thompson & Bernard Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheryl Vernon Thacker, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Atlanta, GA
  • NPI 1053454389
  Medicare reassignment Care Compare group NPD Authorized official
• Melanie A Thompson, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1235272428
  Medicare reassignment Care Compare group NPD
• Annette Mary Bernard, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1831232024
  Medicare reassignment NPD
• Hogai G Nassery, M.D.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1598860298
  Medicare reassignment NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1366595118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 RANKIN ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082920",
            "telephone_number": "404-874-3102",
            "fax_number": "404-874-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 RANKIN ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082920",
            "telephone_number": "404-874-3102",
            "fax_number": "404-874-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THACKER & THOMPSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "THACKER",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-874-3102",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "GA024356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thacker, Thompson & Bernard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blossom Tewelde, MD
• Nebiat Tewodros
• Texas Inpatient Medicine Associates, PLLC
• Jacob A Teye, PA-C
• Mohamad Ali Tfaily
• Sheryl Vernon Thacker, MD
• Tricia W Thackston, RN, NP-C
• Sharmila Thadani, M.D.
• Thaddeus K Lynn, M.D., P.C.
• John Thai, PHARMD

• Multi-Specialty Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.