Individual provider Active NPI

Rosalyn Anderson Thomas, DNP, FNP-C

  • Family Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1609209519
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN169551 Issued in GA
Practice address
1035 Southcrest Dr Ste 200
Stockbridge, GA 30281-6116
Phone
(770) 716-7999
Fax
(770) 716-8444
NPI assigned
Aug 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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 RN169551 GA Primary

Addresses

Primary practice location

1035 Southcrest Dr Ste 200
Stockbridge, GA 30281-6116

Mailing address

1035 Southcrest Dr Ste 200
Stockbridge, GA 30281-6116
Phone (770) 716-7999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20170802001448 GA Practitioner - Nurse Practitioner 6709042526 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1035 Southcrest Dr
Suite 200
Stockbridge, GA 30281-6116
Phone (770) 442-1911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN169551GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jencare Neighborhood Medical Center West End, LLC CurrentSince Oct 1, 2022 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 1, 2021 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Oct 1, 2021 Accepting new patients
Apogee Medical Group Georgia CurrentSince Dec 1, 2021 Accepting new patients
Integrity Health and Wellness, LLC CurrentSince Jul 9, 2018 Accepting new patients
Southeast Medical Group, P.C. CurrentSince Jul 22, 2024 Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

105 Carnegie Pl
Ste 103
Fayetteville, GA 30214
Phone (770) 716-7999

1035 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (770) 474-5302

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000

808 Beacon St
Waycross, GA 31501
Phone (912) 490-0722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDCEBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1609209519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SOUTHCREST DR STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816116",
            "telephone_number": "770-716-7999",
            "fax_number": "707-716-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SOUTHCREST DR STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816116",
            "telephone_number": "770-716-7999",
            "fax_number": "770-716-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROSALYN",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-14",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN169551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.