Mark E. Thomas, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57599 Issued in GA

Practice address

9390 The Landing Dr
Douglasville, GA 30135-7120

Phone

(770) 947-1112

NPI assigned

Jul 5, 2006

Last updated

Nov 1, 2011By 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 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1538190012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9390 THE LANDING DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357120",
            "telephone_number": "770-947-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9390 THE LANDING DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357120",
            "telephone_number": "770-947-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MARK",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "57599",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "57599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529328395B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00333870",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529328395A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Thomas
• Felicia Thomas, RBT
• Gertrise Thomas, ND
• Jametra Thomas, PHARMD
• Malika T Thomas
• Raegan Thomas, RBT
• Roselyn Thomas
• Shiandra Rumph Thomas
• Sonya Thomas
• Allana Thompson

• Family Medicine Physician in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.