Individual provider Active NPI

Amanda Leigh Christopher Thomas, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1558734137
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06055 Issued in NC
Practice address
10514 Park Rd
Charlotte, NC 28210
Phone
(704) 384-9960
Fax
(704) 384-9965
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06055 NC Primary

Addresses

Primary practice location

10514 Park Rd
Charlotte, NC 28210

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-9960

Other practice location 1

404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 291-9267 ext. 1882

Other practice location 2

404 S Sutherland Ave
Monroe, NC 28112-5060
Phone (704) 291-9267 ext. 1882

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address achristopherthomas731668@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 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

Enrollment IDStateProvider typePAC IDDetails
I20160229002885 NC Practitioner - Physician Assistant 1557666526 Reassigns benefits to 2 organizations
I20190313002476 SC Practitioner - Physician Assistant 1557666526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

10514 Park Rd
Charlotte, NC 28210-8405
Phone (704) 384-9960

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Care Medical Clinic CurrentSince Jan 4, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 20, 2019 Accepting new patients
First Care Medical Clinic CurrentSince Jan 4, 2016 Accepting new patients
Novant Health Medical Group, LLC CurrentSince May 20, 2019 Accepting new patients
First Care Medical Clinic CurrentSince Jan 4, 2016 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

10514 Park Rd
Charlotte, NC 28210
Phone (704) 384-9960

404 S Sutherland Ave
Monroe, NC 28112

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

1462 Constitution Blvd
Rock Hill, SC 29732
Phone (803) 909-4040

Interoperability endpoints

  • Direct secure messaging: achristopherthomas731668@direct.novanthealth.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1558734137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-9960",
            "fax_number": "704-384-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10514 PARK RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-384-9960",
            "fax_number": "704-384-9965"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 S Sutherland Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125060",
            "country_code": "US",
            "telephone_number": "704-291-9267 x1882",
            "fax_number": "704-776-4078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 S Sutherland Ave",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281125060",
            "country_code": "US",
            "telephone_number": "704-291-9267 x1882",
            "fax_number": "704-776-4078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTOPHER THOMAS",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "achristopherthomas731668@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "404 S Sutherland Ave",
            "city": "Monroe",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281125060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.