Active NPI
Kendrick Wade Thomas, M.D.
- Interventional Pain Medicine Physician
- Dalton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 102086
- Practice address
- 1413 Chattanooga Ave
Dalton, GA 30720-2631 - Phone
- (706) 279-2635
- Fax
- (706) 279-2679
- NPI assigned
- Mar 29, 2010
- 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 |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 102086 | GA | Primary |
Addresses
Primary practice location
1413 Chattanooga Ave
Dalton, GA 30720-2631
Mailing address
1413 Chattanooga Ave
Dalton, GA 30720-2631
Phone (706) 279-2635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Spine and Pain Medicine PC
Practice addresses (Care Compare)
1413 Chattanooga Ave
Dalton, GA 30720-2631
Phone (706) 279-2635
7446 Shallowford Rd
Suite 110
Chattanooga, TN 37421-2352
Phone (706) 279-2635
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 81.69
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102086 | GA | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Pain Institute PLLC | Pain Medicine | Current | Accepting new patients |
| Center for Spine & Pain Medicine PC | Current | Accepting new patients | |
| Center for Spine & Pain Medicine PC | Anesthesiology | Current | Accepting new patients |
| Center for Spine & Pain Medicine, PC | Current | Accepting new patients |
Locations
1413 Chattanooga Ave
Dalton, GA 30720
Phone (706) 279-2635
1940 Parker Ct
Ste B
Stone Mountain, GA 30087
Phone (706) 279-2635
7446 Shallowford Rd
Ste 110
Chattanooga, TN 37421
Phone (706) 279-2635
7878 Gateway Blvd E
Ste 402
El Paso, TX 79915
Phone (915) 313-4443
11450 Gateway Blvd N
Ste 2100
El Paso, TX 79934
Phone (915) 313-4443
Interoperability endpoints
- kendrick.thomas@ppsp-az.direct.office.nextgen.com
- https://fhir4.healow.com/fhir/r4/ECFEAA
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 and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Dalton, GA
- NPI 1952336133
Anesthesiology, TN
-
- Ambulatory Surgical Clinic/Center
- Chattanooga, TN
- NPI 1881962348
-
- Pain Medicine Physician
- El Paso, TX
- NPI 1073009064
-
- Ambulatory Surgical Clinic/Center
- Dalton, GA
- NPI 1669428983
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dalton, GA
- NPI 1528056066
-
- Psychiatric Hospital Unit
- Dalton, GA
- NPI 1760645782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1528383965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1413 CHATTANOOGA AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307202631",
"telephone_number": "706-279-2635",
"fax_number": "706-279-2679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 CHATTANOOGA AVE",
"city": "DALTON",
"state": "GA",
"postal_code": "307202631",
"telephone_number": "706-279-2635",
"fax_number": "706-279-2679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KENDRICK",
"middle_name": "WADE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-03-29",
"last_updated": "2025-03-20",
"certification_date": "2025-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "GA",
"license": "102086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dalton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.