Individual provider Active NPI

Jeffrey A Thomas, M.D.

  • Hematology & Oncology Physician
  • Lavonia, GA
National Provider Identifier
1811935778
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
040262 Issued in GA
Practice address
355 Clear Creek Pkwy Ste 2007
Lavonia, GA 30553-4271
Phone
(706) 356-2934
Fax
(706) 356-8037
NPI assigned
Jun 3, 2006
Last updated
Jul 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 040262 GA Primary

Addresses

Primary practice location

355 Clear Creek Pkwy Ste 2007
Lavonia, GA 30553-4271

Mailing address

3320 Old Jefferson Rd BLDG 800
Athens, GA 30607-1400
Phone (706) 353-2990

Other practice location 1

3320 Old Jefferson Rd Bldg 700
Athens, GA 30607-1465
Phone (706) 353-2990

Other practice location 2

3320 Old Jefferson Rd Bldg 300
Athens, GA 30607-1400
Phone (706) 410-1734

Other practice location 3

1460 Resurgence Dr
Watkinsville, GA 30677-7320
Phone (706) 715-2410

Other practice location 4

3320 Old Jefferson Rd Bldg 800
Athens, GA 30607-1400
Phone (706) 353-2990

Other identifiers 1

IdentifierTypeStateIssuer
00825514AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031114000352 GA Practitioner - Hematology/Oncology 7012821077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Medical College of Georgia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3320 Old Jefferson Rd
BLDG 700
Athens, GA 30607-1465
Phone (706) 353-2990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040262GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Cancer & Blood Center LLC Hematology & Oncology CurrentSince Dec 15, 2004 Accepting new patients
University Health Alliance Hematology & Oncology Past Accepting new patients

Locations

3320 Old Jefferson Rd
Bldg 300
Athens, GA 30607
Phone (706) 410-1734

3320 Old Jefferson Rd
Bldg 700
Athens, GA 30607
Phone (706) 224-6348

3320 Old Jefferson Rd
Bldg 800
Athens, GA 30607
Phone (706) 353-2290

229 Athens St
Hartwell, GA 30643
Phone (706) 356-0591

355 Clear Creek Pkwy
Ste 2007
Lavonia, GA 30553
Phone (706) 356-2934

1656 Falls Rd
Ste B
Toccoa, GA 30577
Phone (706) 886-0392

1460 Resurgence Dr
Watkinsville, GA 30677
Phone (706) 715-2410

Organizations & group practices 2

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.

Hospital & facility affiliations 7

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1811935778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD BLDG 800",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071400",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 CLEAR CREEK PKWY STE 2007",
            "city": "LAVONIA",
            "state": "GA",
            "postal_code": "305534271",
            "telephone_number": "706-356-2934",
            "fax_number": "706-356-8037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3320 Old Jefferson Rd Bldg 700",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071465",
            "country_code": "US",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3320 Old Jefferson Rd Bldg 300",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071400",
            "country_code": "US",
            "telephone_number": "706-410-1734",
            "fax_number": "706-410-2483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1460 Resurgence Dr",
            "address_purpose": "LOCATION",
            "city": "Watkinsville",
            "state": "GA",
            "postal_code": "306777320",
            "country_code": "US",
            "telephone_number": "706-715-2410",
            "fax_number": "706-353-2992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3320 Old Jefferson Rd Bldg 800",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071400",
            "country_code": "US",
            "telephone_number": "706-353-2990",
            "fax_number": "706-353-2992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "040262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00825514A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavonia, GA

Sources for this page

Verify at the official NPI Registry.