Thomas J Mammana, NRP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11007750 Issued in FL

Practice address

1575 Santa Barbara Blvd
The Villages, FL 32159-6820

Phone

(844) 884-9355

Fax

(352) 674-8940

NPI assigned

Jun 30, 2020

Last updated

Feb 24, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Synergy Inpatient Services LLCGroup PAC ID 7810361524, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Freedom Pointe Health Center Nursing home, The Villages, FL, CCN 106083

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Synergy Inpatient Services LLC

  • Multi-Specialty Clinic/Center
  • The Villages, FL
  • NPI 1952016842
  Medicare reassignment Care Compare group NPD
• Premier Medical Associates All Florida, LLC

  dba Premier Medical Associates

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1093829442
  Medicare reassignment NPD
• Premier Medical Associates of Florida Healthcare, PA

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1023612827
  Medicare reassignment NPD
• Premier Medical Associates of Florida LLC

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1366046179
  Medicare reassignment NPD
• Premier Medical Associates of Florida LLC

  dba Pioneer Clinical Labs

  • Clinical Laboratory Director (Non-physician)
  • Ocala, FL
  • NPI 1417475872
  NPD

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

• CCRC-Freedom Pointe at the Villages, LLC

  dba Freedom Pointe Health Center

  • Skilled Nursing Facility
  • Lady Lake, FL
  • NPI 1457587818

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1407473010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LNDG",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321622699",
            "telephone_number": "352-674-8905",
            "fax_number": "352-674-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 SANTA BARBARA BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321596820",
            "telephone_number": "844-884-9355",
            "fax_number": "352-674-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMANA",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "NRP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11007750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Barton Mahan, HAS-BC 1808
• Jamie Mahaney, DC
• Seemab Nazar Malik, M.D.
• Corey Jamian Mallette, LCSW
• Kirkland Malone
• Kenneth Mandato
• Edelyn Marie Manning Pagan, MD
• Miguel Mantilla-Villamizar, MD
• Brandon Max Markus, D.O.
• Tyler Marsh

• Family Nurse Practitioner in The Villages, FL
• Providers in The Villages, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.