Active NPI
Johnny Thomas, M.D.
- Family Medicine Physician
- Gainesville, FL
National Provider Identifier
1588774970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 202262214
- Practice address
- 2100 NW 53Rd Avenue
Suite B
Gainesville, FL 32653 - Phone
- (407) 673-5528
- Fax
- (407) 678-1189
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 9, 2010
- Sex
- Male
- 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 Medicine Physician | 207Q00000X | 202262214 | FL | Primary |
Addresses
Primary practice location
2100 NW 53Rd Avenue
Suite B
Gainesville, FL 32653
Mailing address
5745 SW 75TH Street
#228
Gainesville, FL 32608
Phone (352) 328-5778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME93515 | Other | FL | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202262214 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Coast Spine and Rehab Inc | Past | Accepting new patients | |
| Orlando Health Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1588774970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5745 SW 75TH STREET",
"address_2": "#228",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32608",
"telephone_number": "352-328-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 NW 53RD AVENUE",
"address_2": "SUITE B",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32653",
"telephone_number": "407-673-5528",
"fax_number": "407-678-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JOHNNY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "202262214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME93515",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.