Individual provider Active NPI

Tanya A Thomas, NP

  • Family Nurse Practitioner
  • Fayetteville, GA
National Provider Identifier
1770964934
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN177598 Issued in GA
Practice address
78 Southern Golf CT
Fayetteville, GA 30215-8008
Phone
(678) 472-4386
NPI assigned
Jun 13, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN177598 GA Primary
Nurse Practitioner 363L00000X AP141168 TX

Addresses

Primary practice location

78 Southern Golf CT
Fayetteville, GA 30215-8008

Mailing address

78 Southern Golf CT
Fayetteville, GA 30215-8008
Phone (678) 472-4386

Other names 1

  • Tanya A Thomas Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190722001359 TX Practitioner - Nurse Practitioner 4183938699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Velasco Inpatient Services PLLCGroup PAC ID 1153508551, 14 clinicians

Practice addresses (Care Compare)

132 E Hospital Dr
Angleton, TX 77515-4112
Phone (954) 939-5000

Hospital & facility affiliations

  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP141168TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velasco Inpatient Services PLLC CurrentSince May 26, 2019 Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

13737 Noel Rd
Ste 1600
Dallas, TX 75240
Phone (214) 712-2489

Interoperability endpoints

  • Direct secure messaging: tthomasfnp44579@direct.utmb.edu

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1770964934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 SOUTHERN GOLF CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158008",
            "telephone_number": "678-472-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 SOUTHERN GOLF CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158008",
            "telephone_number": "678-472-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TANYA",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-13",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN177598",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141168",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "THOMAS",
            "middle_name": "A",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.