Active NPI
Dr. Thomas R Fitzsimmons MD PC
- Surgery Physician
- Stockbridge, GA
National Provider Identifier
1649516006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 056566
- Legal business name
- DR. THOMAS R FITZSIMMONS MD PC
- Practice address
- 1215 Eagles Landing Parkway
Suite 105
Stockbridge, GA 30281 - Phone
- (770) 997-5347
- Fax
- (678) 289-0191
- NPI assigned
- Dec 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas R. Fitzsimmons, M.D.
- Title
- Ceo/Owner
- Phone
- (770) 997-5347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 056566 | GA | Primary |
Addresses
Primary practice location
1215 Eagles Landing Parkway
Suite 105
Stockbridge, GA 30281
Mailing address
1215 Eagles Landing Parkway
Suite 105
Stockbridge, GA 30281
Phone (770) 997-5347
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 783252541C | Medicaid | GA |
Other names 1
- Thomas R Fitzsimmons MD PC
National Provider Directory
National Provider DirectoryLocations
245 Village Center Pkwy
Ste 100
Stockbridge, GA 30281
Phone (770) 389-1962
7444 Hannover Pkwy S
Ste 225
Stockbridge, GA 30281
Phone (404) 981-3376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600041600000",
"number": "1649516006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 EAGLES LANDING PARKWAY",
"address_2": "SUITE 105",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "770-997-5347",
"fax_number": "678-289-0191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 EAGLES LANDING PARKWAY",
"address_2": "SUITE 105",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "770-997-5347",
"fax_number": "678-289-0191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. THOMAS R FITZSIMMONS MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-12-12",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A",
"authorized_official_last_name": "FITZSIMMONS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "770-997-5347",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "GA",
"license": "056566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "783252541C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Thomas R Fitzsimmons MD PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.