Individual provider Active NPI

Debra Gibbs Thomas, APRN

  • Family Nurse Practitioner
  • Bowling Green, KY
National Provider Identifier
1578541884
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2912P Issued in KY
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

Updated by the provider on Apr 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
78009461MedicaidKY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221003001282 KY Practitioner - Nurse Practitioner 2062474232 Reassigns benefits to 2 organizations

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
Emergency Medicine Services of Ky LLCGroup PAC ID 9335505569, 42 clinicians

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

LicenseStateTypeSpecialty
2912PKYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of Ky, LLC Family CurrentSince Apr 1, 2023 Accepting new patients
Hospital Medicine Services of Ky, LLC Family CurrentSince Jan 23, 2024 Accepting new patients
Drakes Creek Emergency Physicians LLC PastSince Nov 19, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.