Patient 1St Health & Wellness Associates, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

PATIENT 1ST HEALTH & WELLNESS ASSOCIATES, LLC

Practice address

504 Gordon Ave
Thomasville, GA 31792-6646

Phone

(229) 236-6601

NPI assigned

Apr 26, 2019

Organization subpart

No

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

Authorized official

Name

Kimberly E Pickens, MDNPI 1437478047

Title

Owner

Phone

(816) 482-6004

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly E Pickens, M.D.

  • Family Medicine Physician
  • Thomasville, GA
  • NPI 1437478047
  Medicare reassignment Authorized official
• Raquel Adams

  • Family Medicine Physician
  • Quitman, GA
  • NPI 1649948092
  NPD
• Candice James, FNP-BC

  • Family Nurse Practitioner
  • Thomasville, GA
  • NPI 1952914418
  NPD
• Regina Renell Turner, APRN

  • Family Medicine Physician
  • Thomasville, GA
  • NPI 1871248302
  NPD
• Jordan Williams, NP

  • Family Nurse Practitioner
  • Thomasville, GA
  • NPI 1376911677
  NPD

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

{
    "created_epoch": "1556236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599436800000",
    "number": "1760046593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15125 U.S. HWY 19 S PMB 380",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-236-6601",
            "fax_number": "229-236-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GORDON AVE",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317926646",
            "telephone_number": "229-236-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT 1ST HEALTH & WELLNESS ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-26",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-07",
        "status": "A",
        "authorized_official_last_name": "PICKENS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-482-6004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Patient1st504@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email Adress",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email Contact",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Communication",
            "address_1": "504 Gordon Ave",
            "city": "Thomasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "317926646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mitesh Indravadan Patel
• Nikitaben Neel Patel
• Priya Patel, PA-C
• Shameel Subhash Patel, D.C.
• Pathology Associates, P.C.
• Sharon K Patrick, DMD
• Gregory K Patterson, MD
• Julia Patterson, DO
• Peaceful Passage Hospice LLC
• Sheila Peach

• Adult Medicine Physician in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Adult Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2020; 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.

Verify at the official NPI Registry.