Individual provider Active NPI

Kendrick Wade Thomas, M.D.

  • Interventional Pain Medicine Physician
  • Dalton, GA
National Provider Identifier
1528383965
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
102086 Issued in GA
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

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211007001520 TX Practitioner - Pain ManagementPractitioner - Anesthesiology 9032337837 Reassigns benefits to 1 organization
I20241205001095 GA Practitioner - Pain ManagementPractitioner - Anesthesiology 9032337837 Reassigns benefits to 1 organization
I20250326003278 TN Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 9032337837 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Spine and Pain Medicine PCGroup PAC ID 6709875297, shared by 4 NPIs, 4 clinicians

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 100Reported as group
Quality
95
Promoting interoperability
96
Improvement activities
40
Cost
81.69

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102086GAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Texas Pain Institute PLLC Pain Medicine CurrentSince Oct 1, 2021 Accepting new patients
Center for Spine & Pain Medicine PC CurrentSince Feb 10, 2025 Accepting new patients
Center for Spine & Pain Medicine PC Anesthesiology CurrentSince Dec 1, 2024 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

  • Direct secure messaging: kendrick.thomas@ppsp-az.direct.office.nextgen.com
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.