Active NPI
Thomas Price, M.D.
- Geriatric Medicine (Internal Medicine) Physician
- Decatur, GA
National Provider Identifier
1477519569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 053367
- Practice address
- 1670 Clairmont Rd FL 11
Decatur, GA 30033-4004 - Phone
- (404) 728-7663
- Fax
- (404) 728-4701
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 053367 | GA | Primary |
Addresses
Primary practice location
1670 Clairmont Rd FL 11
Decatur, GA 30033-4004
Mailing address
1670 Clairmont Rd FL 11
Decatur, GA 30033-4004
Phone (404) 728-7663
Other practice location 1
1841 Clifton Rd NE
Suite 532
Atlanta, GA 30329-4021
Phone (404) 728-6902
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 767974652C | Medicaid | GA | |
| 222969 | Other | GA | ABIM DIPLOMATE NUMBER |
| 767974652A | Medicaid | GA | |
| 767974652B | Medicaid | GA | |
| 053367 | Other | GA | GEORGIA MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220412001926 | GA | Order and Referring Only - Geriatric Medicine | 4880668193 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1477519569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD FL 11",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "404-728-7663",
"fax_number": "404-728-4701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD FL 11",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "404-728-7663",
"fax_number": "404-728-4701"
}
],
"practiceLocations": [
{
"address_1": "1841 Clifton Rd NE",
"address_2": "Suite 532",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303294021",
"country_code": "US",
"telephone_number": "404-728-6902",
"fax_number": "404-728-6425",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRICE",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2023-03-07",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "GA",
"license": "053367",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767974652C",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ABIM DIPLOMATE NUMBER",
"identifier": "222969",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767974652A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767974652B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA MEDICAL LICENSE",
"identifier": "053367",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.