Thomas Wayne Hart, NP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN9346173 Issued in FL

Practice address

705 Okaloosa St
Tallahassee, FL 32310-5455

Phone

(229) 560-0252

Fax

(858) 216-1971

NPI assigned

Aug 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, FL2 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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Vincent's Ambulatory Care IncGroup PAC ID 2860411188, 303 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension St Vincent's Southside Hospital, Jacksonville, FL, CCN 100307
• SGMC Health Hospital, Valdosta, GA, CCN 110122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00281
• Direct secure messaging: thomas.hart.1@8967.direct.athenahealth.com

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.

• St Vincents Ambulatory Care Inc

  • Neurological Surgery Physician
  • Jacksonville, FL
  • NPI 1417987124

  GA

  Medicare reassignment Care Compare group NPD
• Neurology, Neurosurgery, and Spine Clinic of South Georgia

  • Specialist
  • Valdosta, GA
  • NPI 1184781262
  Medicare reassignment NPD
• Southern Neurodiagnostics LLC

  • Family Medicine Physician
  • Hahira, GA
  • NPI 1568769974

  FL

  Medicare reassignment NPD
• Azalea City Hearts

  dba Thomas Hart

  • Primary Care Clinic/Center
  • Hahira, GA
  • NPI 1710543533
  NPD (past) Authorized official
• Elite Mens' Health, LLC

  • Clinic/Center
  • Valdosta, GA
  • NPI 1558981985
  Authorized official Same address or phone
• St Vincents Ambulatory Care Inc

  dba Ascension St Vincent's Medical Group

  • Durable Medical Equipment & Medical Supplies
  • Jacksonville, FL
  • NPI 1679226690
  NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)
• Southern Dermatology Medical LLC

  • Dermatology Physician
  • Aiken, SC
  • NPI 1265024186
  NPD (past)

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

• St Lukes - St Vincents Healthcare

  dba Ascension St. Vincent's Southside

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1396926747
  Care Compare affiliation
• South Georgia Medical Center Inc

  dba SGMC Health

  • General Acute Care Hospital
  • Valdosta, GA
  • NPI 1144096553
  Care Compare affiliation

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1417474180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FAIRWAY DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316056431",
            "telephone_number": "229-560-0252",
            "fax_number": "858-216-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 OKALOOSA ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105455",
            "telephone_number": "229-560-0252",
            "fax_number": "858-216-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4274 N Valdosta Rd",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316026814",
            "country_code": "US",
            "telephone_number": "229-242-1234",
            "fax_number": "229-242-0687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4249 Whisperwood Cir",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316024962",
            "country_code": "US",
            "telephone_number": "229-740-7639",
            "fax_number": "888-463-8873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Shircliff Way",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044748",
            "country_code": "US",
            "telephone_number": "229-289-1517",
            "fax_number": "858-216-1971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "THOMAS",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-24",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN214796",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN9346173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003212736A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Harrison, RBT
• Tilea Harrison
• Harry M Rosenblum Mdpa (Tallahassee Heart Surgery)
• Celeste Hart, MD
• Christa Hart, BSW
• Virginia Gayle Hart, CRNA
• Gregory R Hartlage, M.D.
• Christine Hartley, MD
• Kathy Hartley, C.N.M.
• Michael Clifford Hartley, D.M.D.

• Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.