Active NPI
Jena Thomas
- Registered Nurse
- Atlanta, GA
National Provider Identifier
1386427706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 287702
- Practice address
- 250 Georgia Ave SE
Atlanta, GA 30312-3046 - Phone
- (404) 653-0374
- NPI assigned
- Aug 17, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 287702 | GA | Primary |
Addresses
Primary practice location
250 Georgia Ave SE
Atlanta, GA 30312-3046
Mailing address
415 Armour Dr NE Apt 11201
Atlanta, GA 30324-3964
Phone (770) 826-2383
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 287702 | GA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692230400000",
"number": "1386427706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 ARMOUR DR NE APT 11201",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303243964",
"telephone_number": "770-826-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 GEORGIA AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123046",
"telephone_number": "404-653-0374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-17",
"last_updated": "2023-08-17",
"certification_date": "2023-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "287702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.