Individual provider Active NPI

Roger Duane Thomas, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceburg, TN
National Provider Identifier
1669952354
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
24628 Issued in TN
Practice address
129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone
(931) 762-7232
Fax
(931) 762-7234
NPI assigned
Aug 21, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24628 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4046751 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 24628 TN Primary

Addresses

Primary practice location

129 N Locust Ave
Lawrenceburg, TN 38464-3757

Mailing address

200 Tech Center Dr
Knoxville, TN 37912-2747
Phone (865) 637-9711

Other practice location 1

205 W Springdale Ave
Knoxville, TN 37917-5158
Phone (865) 637-9711 ext. 3226

Other practice location 2

1475 Nashville Rd
Franklin, KY 42134-6961
Phone (270) 813-1111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY, LA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20181206001288 TN Practitioner - Nurse Practitioner 6709120462 Reassigns benefits to 2 organizations
I20251003002804 KY Practitioner - Nurse Practitioner 6709120462 Reassigns benefits to 2 organizations
I20251021002121 LA Practitioner - Nurse Practitioner 6709120462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Pace Medical Clinic PLLCGroup PAC ID 5395881841, shared by 15 NPIs, 737 clinicians

Practice addresses (Care Compare)

4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24628TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Kentucky PLLC Family CurrentSince Sep 19, 2025 Accepting new patients
Fast Pace Kentucky, PLLC CurrentSince Sep 19, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 1, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Aug 1, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Sep 26, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 26, 2025 Accepting new patients
Helen Ross McNabb Center CurrentSince Apr 8, 2024 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients

Locations

1475 Nashville Rd
Franklin, KY 42134
Phone (270) 813-1111

115 Tradepark Dr
Ste A
Somerset, KY 42503
Phone (606) 678-5708

280A Rees St
Breaux Bridge, LA 70517
Phone (337) 294-0701

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

201 W Springdale Ave
Knoxville, TN 37917
Phone (865) 329-9173

205 W Springdale Ave
Knoxville, TN 37917
Phone (865) 312-7278

200 Tech Center Dr
Knoxville, TN 37912
Phone (865) 329-9124

129 N Locust Ave
Lawrenceburg, TN 38464
Phone (855) 560-4999

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.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1669952354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 TECH CENTER DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379122747",
            "telephone_number": "865-637-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643757",
            "telephone_number": "931-762-7232",
            "fax_number": "931-762-7234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 W Springdale Ave",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379175158",
            "country_code": "US",
            "telephone_number": "865-637-9711 x3226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 Nashville Rd",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "KY",
            "postal_code": "421346961",
            "country_code": "US",
            "telephone_number": "270-813-1111",
            "fax_number": "270-813-1112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ROGER",
        "middle_name": "DUANE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-21",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24628",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4046751",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "24628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

Verify at the official NPI Registry.