Penny T Thomas

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN093555 Issued in GA

Practice address

169 Tefel East Dr
Hartwell, GA 30643-4854

Phone

(706) 961-8602

Fax

(706) 961-9395

NPI assigned

Dec 27, 2017

Last updated

Dec 27, 2017By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514332800000",
    "number": "1740796788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 TEFEL EAST DR",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306434854",
            "telephone_number": "706-961-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 TEFEL EAST DR",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306434854",
            "telephone_number": "706-961-8602",
            "fax_number": "706-961-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "PENNY",
        "middle_name": "T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN093555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Sullivan, MD
• T&S Cares LLC
• The Cobb Foundation, Inc (Hartwell Health Care Center)
• The Cobb Foundation, Inc. (Hart County Hospital Swingbed)
• The Cobb Foundation, Inc. (Hart County Hospital)
• Tosca Luann Black (Hartwell Eye Associates)
• Total Renal Care Inc (Lake Hartwell Dialysis)
• Janina Vega Rodriguez, PHARMD
• Kennedy Jean Votava
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1111)

• Licensed Practical Nurse in Hartwell, GA
• Providers in Hartwell, GA by specialty
• Licensed Practical Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.