Carol Thomison, MSN, AGPCNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN247679 Issued in GA

Practice address

110 Park City Rd
Rossville, GA 30741-3980

Phone

(423) 355-9681

Fax

(781) 384-6201

NPI assigned

Jan 18, 2023

Last updated

Oct 21, 2024By the provider in NPPES

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 GA, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

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.

• TNT Medical Enterprises, LLC

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1104331420

  GA

  Medicare reassignment NPD
• C & C Medical Group, Inc.

  dba Medfirst Immediate Medical Care Center

  • General Practice Physician
  • Fort Oglethorpe, GA
  • NPI 1871649525
  NPD (past)

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1659086296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TRAIL LAKE DR",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307282127",
            "telephone_number": "423-355-9681",
            "fax_number": "781-384-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PARK CITY RD",
            "city": "ROSSVILLE",
            "state": "GA",
            "postal_code": "307413980",
            "telephone_number": "423-355-9681",
            "fax_number": "781-384-6201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1323 W Walnut Ave Ste 2-309",
            "address_purpose": "LOCATION",
            "city": "Dalton",
            "state": "GA",
            "postal_code": "307203984",
            "country_code": "US",
            "telephone_number": "407-234-7983",
            "fax_number": "888-698-8617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1384 Battlefield Pkwy",
            "address_purpose": "LOCATION",
            "city": "Fort Oglethorpe",
            "state": "GA",
            "postal_code": "307424010",
            "country_code": "US",
            "telephone_number": "706-861-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Magnolia Vale Dr",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374192185",
            "country_code": "US",
            "telephone_number": "423-825-1991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Martin Luther King Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374022571",
            "country_code": "US",
            "telephone_number": "423-269-2255",
            "fax_number": "888-698-8617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMISON",
        "first_name": "CAROL",
        "credential": "MSN, AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "32976",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN247679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elmer R Summitt Jr.
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• Yolanda Texidor, LMT
• Ronald Toups Jr., RN
• Heather Voss, CAS
• Walker County BD of Education
• Phyllis Ann Weed
• Heather Wehunt, RD LDN

• Adult Health Nurse Practitioner in Rossville, GA
• Providers in Rossville, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.