Individual provider Active NPI

Angela Velez Thoerner, FNP

  • Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1609370980
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN268665 Issued in GA
Practice address
48 Village Green Cir
Savannah, GA 31411-1508
Phone
(309) 840-5529
NPI assigned
Mar 21, 2018
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN268665 GA Primary
Family Nurse Practitioner 363LF0000X RN268665 GA

Addresses

Primary practice location

48 Village Green Cir
Savannah, GA 31411-1508

Mailing address

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-4319

Other practice location 1

4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-4319

Other practice location 2

48 Village Green Cir
Savannah, GA 31411-1508
Phone (309) 840-5529

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address athoerner49288@epicsav.hcadirect.net

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
I20210915001882 GA Practitioner - Nurse Practitioner 4082953062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steward Center for Palliative CareGroup PAC ID 5597795161, 8 clinicians

Practice addresses (Care Compare)

1352 Eisenhower Dr
Savannah, GA 31406-3902
Phone (912) 355-2289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN268665GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Center for Palliative Care CurrentSince Mar 18, 2024 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Sep 12, 2022 Accepting new patients
St Josephs Candler Urgent Care Centers LLC CurrentSince Sep 12, 2022 Accepting new patients

Locations

780 E Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 332-7262

101 Saint Josephs Candler Dr
Ste 100
Pooler, GA 31322
Phone (912) 450-1945

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

1352 Eisenhower Dr
Savannah, GA 31406
Phone (912) 354-8014

225 Candler Dr
Ste 301
Savannah, GA 31405
Phone (912) 354-8014

361 Commercial Dr
Savannah, GA 31406
Phone (912) 355-6221

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1609370980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 WATERS AVE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314046220",
            "telephone_number": "912-350-4319",
            "fax_number": "912-350-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 VILLAGE GREEN CIR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314111508",
            "telephone_number": "309-840-5529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-4319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Village Green Cir",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314111508",
            "country_code": "US",
            "telephone_number": "309-840-5529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOERNER",
        "first_name": "ANGELA",
        "middle_name": "VELEZ",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2022-01-04",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN268665",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN268665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "athoerner49288@epicsav.hcadirect.net",
            "affiliation": "N",
            "address_1": "4700 Waters Ave",
            "city": "Savannah",
            "state": "GA",
            "country_code": "US",
            "postal_code": "314046220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.