Active NPI
Debra Gibbs Thomas, APRN
- Family Nurse Practitioner
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2912P
- Practice address
- 5796 Nashville Rd
Bowling Green, KY 42101 - Phone
- (270) 781-6477
- Fax
- (270) 781-6479
- NPI assigned
- Jan 6, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2912P | KY | Primary |
Addresses
Primary practice location
5796 Nashville Rd
Bowling Green, KY 42101
Mailing address
201 Park St
Bowling Green, KY 42101-1708
Phone (270) 781-6477
Other practice location 1
1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-2165
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78009461 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Ashley Cir
Bowling Green, KY 42104-3362
Phone (270) 793-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2912P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of Ky, LLC | Family | Current | Accepting new patients |
| Hospital Medicine Services of Ky, LLC | Family | Current | Accepting new patients |
| Drakes Creek Emergency Physicians LLC | Past | Accepting new patients | |
| 4MD2 Physician Services of Bowling Green LLC | Past | Accepting new patients |
Locations
1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- debrathomas@ggc.allscriptsdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Bowling Green, KY
- NPI 1033816194
Family
-
- Emergency Medicine Physician
- Bowling Green, KY
- NPI 1629101704
-
- Emergency Medicine Physician
- Bowling Green, KY
- NPI 1861836322
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554768000000",
"number": "1578541884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011708",
"telephone_number": "270-781-6477",
"fax_number": "270-781-6479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5796 NASHVILLE RD",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "42101",
"telephone_number": "270-781-6477",
"fax_number": "270-781-6479"
}
],
"practiceLocations": [
{
"address_1": "1801 Ashley Cir",
"address_purpose": "LOCATION",
"city": "Bowling Green",
"state": "KY",
"postal_code": "421043362",
"country_code": "US",
"telephone_number": "270-793-2165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "DEBRA",
"middle_name": "GIBBS",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2019-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "2912P",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78009461",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.