Active NPI
Tedra Carolyn Thomas, MD
- Family Medicine Physician
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 89557
- Practice address
- 730 Glynn St S
Fayetteville, GA 30214-2050 - Phone
- (770) 460-3650
- NPI assigned
- Apr 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 89557 | GA | Primary |
Addresses
Primary practice location
730 Glynn St S
Fayetteville, GA 30214-2050
Mailing address
PO Box 4363
Macon, GA 31208-4363
Phone (478) 787-4266
Other practice location 1
400 Poplar St
Macon, GA 31201-3336
Phone (478) 787-4266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003255700A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Morehouse School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
730 Glynn St S
Fayetteville, GA 30214-2050
Phone (770) 460-3650
Hospital & facility affiliations
- Centerwell Home Health
- Piedmont Hospital, Inc
- Piedmont Fayette Hospital
- Piedmont Henry Hospital
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Piedmont Medical Care Corporation | Family Medicine | Current | Accepting new patients |
| Peachtree Immediate Care FP, LLC | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Current | Accepting new patients | |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Anmed Health | Family Medicine | Current | Accepting new patients |
| Peachtree Immediate Care UC, LLC | Past | Accepting new patients | |
| Piedmont Providers LLC | Past | Accepting new patients |
Locations
105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860
2768 Watson Blvd
#100
Centerville, GA 31028
Phone (478) 302-0001
730 Glynn St S
Fayetteville, GA 30214
Phone (770) 460-3650
590 Lanier Ave W
Fayetteville, GA 30214
1080 Dawsonville Hwy
#A
Gainesville, GA 30501
Phone (678) 270-1060
3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900
151 S Houston Lake Rd
Warner Robins, GA 31088
Phone (478) 287-1771
600 N Fant St
Anderson, SC 29621
Phone (864) 512-1787
2000 E Greenville St
Ste 3700
Anderson, SC 29621
Phone (864) 512-1473
1100 W Franklin St
Anderson, SC 29624
Phone (864) 224-0822
800 N Fant St
Anderson, SC 29621
Phone (864) 512-1000
885 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530
Interoperability endpoints
- tthomas30631@direct.anmedhealth.net
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
Family Medicine
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
dba AnMed
- Addiction Medicine (Psychiatry & Neurology) Physician
- Anderson, SC
- NPI 1164746392
-
dba AnMed Health Westside Family Medicine
- Family Medicine Physician
- Anderson, SC
- NPI 1639102270
-
dba AnMed Primary Care-Family Medicine Residency
- Family Medicine Physician
- Anderson, SC
- NPI 1003841461
-
dba AnMed Primary Care - Piedmont
- Family Medicine Physician
- Piedmont, SC
- NPI 1255137832
-
- Urgent Care Clinic/Center
- Decatur, GA
- NPI 1235573841
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Peachtree City, GA
- NPI 1730119538
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1821586645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4363",
"city": "MACON",
"state": "GA",
"postal_code": "312084363",
"telephone_number": "478-787-4266",
"fax_number": "478-787-4199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 GLYNN ST S",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142050",
"telephone_number": "770-460-3650"
}
],
"practiceLocations": [
{
"address_1": "400 Poplar St",
"address_purpose": "LOCATION",
"city": "Macon",
"state": "GA",
"postal_code": "312013336",
"country_code": "US",
"telephone_number": "478-787-4266",
"fax_number": "478-787-4199",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMAS",
"first_name": "TEDRA",
"middle_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "89557",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003255700A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.