Suzanne Nichole Thomas, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110002967 Issued in VA

Practice address

8136 Old Keene Mill Rd Ste A205
Springfield, VA 22152

Phone

(703) 753-9860

NPI assigned

Jun 3, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Physician Assistant

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renewal Dermatology and Medspa PCGroup PAC ID 8527216993, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Renewal Dermatology & Medspa, P.C.

  • Dermatology Physician
  • Gainesville, VA
  • NPI 1619232469

  DC

  Medicare reassignment Care Compare group
• Renewal Dermatology PLLC

  • Dermatology Physician
  • Gainesville, VA
  • NPI 1831324144
  NPD (past)
• Sanjiv K. Saini M.D.,LLC

  • Specialist
  • Lexington Park, MD
  • NPI 1710020995
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1588890644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD STE A205",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221521851",
            "telephone_number": "703-753-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8136 OLD KEENE MILL RD STE A205",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "22152",
            "telephone_number": "703-753-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22335 Exploration Dr",
            "address_2": "Suite 2005",
            "address_purpose": "LOCATION",
            "city": "Lexington Park",
            "state": "MD",
            "postal_code": "206532014",
            "country_code": "US",
            "telephone_number": "301-863-7310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8136 Old Keene Mill Rd Ste A205",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "22152",
            "country_code": "US",
            "telephone_number": "703-753-9860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SUZANNE",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0004722",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110002967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie T Thomas, M.D.
• Jacqueline Joan Thomas
• Kari Joy Thomas
• Lauran Harvey Thomas, LPC
• Melody Elaine Thomas, CMT
• William Hayden Thomas, DDS
• Micaela Thompson
• Olivia Thompson
• Tara L Thompson, PT, DPT
• Eva Thorpe, BCBA, LP

• Physician Assistant in Springfield, VA
• Providers in Springfield, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.

Verify at the official NPI Registry.