NPIMap

Individual provider Active NPI

Aydrian Leshawn Thomas, M.D.

  • Family Medicine Physician
  • York, SC
National Provider Identifier
1811972342
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23006 Issued in SC
Practice address
1795 Devinney Road
York, SC 29745
Phone
(803) 818-5995
Fax
(803) 818-5985
NPI assigned
Dec 7, 2005
Last updated
Apr 21, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23006 SC Primary

Addresses

Primary practice location

1795 Devinney Road
York, SC 29745

Mailing address

161 Belle Flower CT
Spartanburg, SC 29303-3359
Phone (864) 583-0315

Other identifiers 1

IdentifierTypeStateIssuer
230066MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603000380 SC Practitioner - Family Practice 9032191093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

1023 Creekside Medical Dr
York, SC 29745-8624
Phone (803) 684-3730

200 Herlong Ave S
Rock Hill, SC 29732-1182

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Family Medicine CurrentSince Oct 23, 2017 Accepting new patients

Locations

502 6th Baxter Xing
Fort Mill, SC 29708
Phone (803) 396-8100

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

1023 Creekside Medical Dr
York, SC 29745
Phone (803) 684-3730

1795 Devinney Rd
York, SC 29745
Phone (803) 335-0780

Interoperability endpoints

  • Direct secure messaging: aydrian.thomas.1@14929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1811972342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 BELLE FLOWER CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033359",
            "telephone_number": "864-583-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1795 DEVINNEY ROAD",
            "city": "YORK",
            "state": "SC",
            "postal_code": "29745",
            "telephone_number": "803-818-5995",
            "fax_number": "803-818-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AYDRIAN",
        "middle_name": "LESHAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "23006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230066",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, SC

Sources for this page

Verify at the official NPI Registry.