Individual provider Active NPI

Gregory John Thomas, MD

  • Surgery Physician
  • Savannah, GA
National Provider Identifier
1407349640
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
100487 Issued in GA
Practice address
5354 Reynolds St Ste 202
Savannah, GA 31405-6009
Phone
(912) 352-0920
Fax
(912) 362-0955
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 100487 GA Primary

Addresses

Primary practice location

5354 Reynolds St Ste 202
Savannah, GA 31405-6009

Mailing address

439 Buttercup Dr
Rochester Hills, MI 48307-5212
Phone (248) 410-4884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802000706 GA Practitioner - General Surgery 3173878998 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJC Ms General Surgery LLCGroup PAC ID 4183071608, 6 clinicians

Practice addresses (Care Compare)

5354 Reynolds St
Suite 202
Savannah, GA 31405-6009
Phone (912) 352-0920

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux12
Removal of tissue21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
100487GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SJC Ms General Surgery, LLC Surgery CurrentSince Jun 13, 2025 Accepting new patients
Metro Surgical, PC Surgery CurrentSince Jul 11, 2024 Accepting new patients
Metro Surgical PC Surgery CurrentSince Jul 11, 2024 Accepting new patients

Locations

594 S Columbia Ave
Rincon, GA 31326

594 S Columbia Ave
Ste 100
Rincon, GA 31326
Phone (248) 412-3450

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

5354 Reynolds St
Ste 202
Savannah, GA 31405
Phone (912) 352-0920

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1407349640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 BUTTERCUP DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075212",
            "telephone_number": "248-410-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5354 REYNOLDS ST STE 202",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314056009",
            "telephone_number": "912-352-0920",
            "fax_number": "912-362-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "100487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.