Active NPI
Larry Thomas Jr.
- Anesthesiologist Assistant
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 9500
- Practice address
- 777 Hemlock St
Macon, GA 31201-2102 - Phone
- (478) 633-1000
- NPI assigned
- Aug 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | |||
| Anesthesiologist Assistant | 367H00000X | 9500 | GA | Primary |
Addresses
Primary practice location
777 Hemlock St
Macon, GA 31201-2102
Mailing address
594 Cleveland St
Macon, GA 31206-1561
Phone (478) 719-9995
Other practice location 1
1000 Johnson Fy Rd NE
Atlanta, GA 30342-1611
Phone (404) 851-8000
Other practice location 2
1800 Howell Mill Rd NW Ste 250
Atlanta, GA 30318-2593
Phone (404) 537-4910
Other practice location 3
888 Pine St
Macon, GA 31201-2109
Phone (478) 633-1000
Other practice location 4
1014 Forsyth St
Macon, GA 31201-2051
Phone (478) 633-8500
Other practice location 5
1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone (404) 351-1745
Other practice location 6
1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone (000) 000-0000
Other practice location 7
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 400-1000
Other practice location 8
775 Poplar Rd Ste Ll20
Newnan, GA 30265-8306
Phone (770) 253-1912
Other practice location 9
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (678) 604-1053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200109001653 | GA | Practitioner - Anesthesiology Assistant | 0446685929 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Wellstar Medical Group LLCMak Anesthesia Holdings, LLC
Practice addresses (Care Compare)
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004
677 Church Nest
Marietta, GA 30060-1101
677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585
9930 Johnson Ferry Rd NE
Suite 200
Atlanta, GA 30342
Phone 7707021806209
Hospital & facility affiliations
- Wellstar Kennestone Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9500 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Georgia Anesthesiologists, PC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Gi Anesthesia of Georgia LLC | Current | Accepting new patients | |
| Piedmont Anesthesia LLC | Current | Accepting new patients | |
| Piedmont Anesthesia Associates, L.L.C | Current | Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current | Accepting new patients | |
| Coastal Ambulatory Anesthesia LLC | Current | Accepting new patients |
Locations
7956 Vaughn Rd
Ste 165
Montgomery, AL 36116
550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094
1968 Ptree Rd NW
Atlanta, GA 30309
Phone (404) 605-2222
1800 Howell Mill Rd NW
Ste 250
Atlanta, GA 30318
Phone (404) 537-4910
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
531 Roselane St NW
Ste 830
Marietta, GA 30060
Phone (770) 658-9739
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785
775 Poplar Rd
Ste LL20
Newnan, GA 30265
Phone (770) 253-1912
1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Organizations & group practices 9
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.
-
- Certified Registered Nurse Anesthetist
- Gainesville, GA
- NPI 1326569187
GA
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Anesthesiology Physician
- Stone Mountain, GA
- NPI 1528068673
GA
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": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1639726227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "594 CLEVELAND ST",
"city": "MACON",
"state": "GA",
"postal_code": "312061561",
"telephone_number": "478-719-9995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 HEMLOCK ST",
"city": "MACON",
"state": "GA",
"postal_code": "312012102",
"telephone_number": "478-633-1000"
}
],
"practiceLocations": [
{
"address_1": "1000 Johnson Fy Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421611",
"country_code": "US",
"telephone_number": "404-851-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 Howell Mill Rd NW Ste 250",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303182593",
"country_code": "US",
"telephone_number": "404-537-4910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "888 Pine St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312012109",
"country_code": "US",
"telephone_number": "478-633-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1014 Forsyth St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312012051",
"country_code": "US",
"telephone_number": "478-633-8500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1255 Highway 54 W",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "GA",
"postal_code": "302144526",
"country_code": "US",
"telephone_number": "404-351-1745",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1968 Peachtree Rd NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303091281",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "745 Poplar Rd",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302651618",
"country_code": "US",
"telephone_number": "770-400-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "775 Poplar Rd Ste Ll20",
"address_purpose": "LOCATION",
"city": "Newnan",
"state": "GA",
"postal_code": "302658306",
"country_code": "US",
"telephone_number": "770-253-1912",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1133 Eagles Landing Pkwy",
"address_purpose": "LOCATION",
"city": "Stockbridge",
"state": "GA",
"postal_code": "302815085",
"country_code": "US",
"telephone_number": "678-604-1053",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "LARRY",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-20",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "9500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.