Individual provider Active NPI

Soren Thomas, M.D.

  • General Practice Physician
  • Doraville, GA
National Provider Identifier
1396784666
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
26895 Issued in GA
Practice address
5953 Buford Hwy NE Ste 202
Doraville, GA 30340-1375
Phone
(770) 458-0025
Fax
(404) 900-9205
NPI assigned
Jun 5, 2006
Last updated
May 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 026895 GA
General Practice Physician 208D00000X 26895 GA Primary

Addresses

Primary practice location

5953 Buford Hwy NE Ste 202
Doraville, GA 30340-1375

Mailing address

5953 Buford Hwy NE
Ste 202
Doraville, GA 30340-1375
Phone (770) 458-0025

Other identifiers 1

IdentifierTypeStateIssuer
000335827AAMedicaidGA

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026895GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Georgia, Inc. Emergency Medicine Past Accepting new patients
Georgia Em-I Medical Services, LLC Emergency Medicine Past Accepting new patients
Chamblee Medical Clinic Past Accepting new patients
Soren Thomas MD Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1396784666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5953 BUFORD HWY NE",
            "address_2": "STE 202",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401375",
            "telephone_number": "770-458-0025",
            "fax_number": "404-900-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5953 BUFORD HWY NE STE 202",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303401375",
            "telephone_number": "770-458-0025",
            "fax_number": "404-900-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SOREN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "026895",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "26895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000335827AA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.