Individual provider Active NPI

Vickie L. Thomas, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roxboro, NC
National Provider Identifier
1376630384
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11029721 Issued in FL
Practice address
138 Puryear St
Roxboro, NC 27573-4241
Phone
(606) 615-5210
Fax
(252) 514-2881
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5205P KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5016304 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 67306 WV
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11029721 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3005205 KY

Addresses

Primary practice location

138 Puryear St
Roxboro, NC 27573-4241

Mailing address

138 Puryear St
Roxboro, NC 27573-4241
Phone (606) 615-5210

Other practice location 1

523 W Larchmont Ct
Beverly Hills, FL 34465-4780
Phone (606) 615-5210

Other practice location 2

414 Lakeview Dr
Greenup, KY 41144-7604
Phone (606) 615-5210

Other identifiers 4

IdentifierTypeStateIssuer
30610026MedicaidKY
P00408776OtherPALMETTA RR MCR
000000502370OtherANTHEM BCBS
1982615043OtherGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, FL, NC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20070723000721 KY Practitioner - Nurse Practitioner 2264533017 Reassigns benefits to 2 organizations
I20100510000228 WV Practitioner - Nurse Practitioner 2264533017 Reassigns benefits to 1 organization
I20240208003925 FL Practitioner - Nurse Practitioner 2264533017 Reassigns benefits to 3 organizations
I20250124001205 NC Practitioner - Nurse Practitioner 2264533017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Kentucky College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians
Isaac Health, P.a.Group PAC ID 1850767880, 27 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

4530 S Orange Blossom TRL
Suite 768
Orlando, FL 32839-1704
Phone (888) 818-2059

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
APRN11029721FLMDPsychiatric/Mental Health Nurse Practitioner
3005205KYMDPsychiatric/Mental Health Nurse Practitioner
5205PKYMDPsychiatric/Mental Health Nurse Practitioner
5016304NCMDPsychiatric/Mental Health Nurse Practitioner
67306WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 27, 2026 Accepting new patients
Mildred Mitchell Bateman Hospital CurrentSince Feb 6, 2016 Accepting new patients
Second Chance Behavioral Health CurrentSince Aug 20, 2025 Accepting new patients
Harmony United Florida, LLC CurrentSince Feb 19, 2024 Accepting new patients
Brightside Health, Inc. CurrentSince Jul 1, 2024 Accepting new patients
PPL Therapeutic Services PLLC Nurse Practitioner CurrentSince Aug 20, 2021 Accepting new patients
David J. Humphreys, MD, Psychiatrist Inc. Past Accepting new patients
Harmony United Pennsylvania PLLC PastSince Feb 11, 2024 Accepting new patients
Midland Behavioral Health, Inc. Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

11531 W Emerald Oaks Dr
Crystal River, FL 34428

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

3235 SW 34th St
Ocala, FL 34474
Phone 3525059115 ext. 100

15544 W Colonial Dr
Winter Garden, FL 34787
Phone (352) 504-0340

100 Carmel Manor Dr
Fort Thomas, KY 41075
Phone (859) 781-5111

200 Glenway Rd
Winchester, KY 40391
Phone (859) 556-0620

2717 Neuse Blvd
New Bern, NC 28562
Phone (252) 514-9888

504 Emily Dr
Clarksburg, WV 26301
Phone (304) 404-4099

1530 Norway Ave
Huntington, WV 25705
Phone (304) 525-7801

Interoperability endpoints

  • Direct secure messaging: vickie.thomaspmhnp.p1@direct.personfamily.nextgenshare.com

Organizations & group practices 10

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1376630384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 PURYEAR ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734241",
            "telephone_number": "606-615-5210",
            "fax_number": "252-514-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 PURYEAR ST",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275734241",
            "telephone_number": "606-615-5210",
            "fax_number": "252-514-2881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 W Larchmont Ct",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "FL",
            "postal_code": "344654780",
            "country_code": "US",
            "telephone_number": "606-615-5210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 Lakeview Dr",
            "address_purpose": "LOCATION",
            "city": "Greenup",
            "state": "KY",
            "postal_code": "411447604",
            "country_code": "US",
            "telephone_number": "606-615-5210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "VICKIE",
        "middle_name": "L.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "5205P",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5016304",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "67306",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11029721",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3005205",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30610026",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTA RR MCR",
            "identifier": "P00408776",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000502370",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1982615043",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

Verify at the official NPI Registry.