Individual provider Active NPI

Steve Thomas, ACNP

  • Pediatric Nurse Practitioner
  • Cartersville, GA
National Provider Identifier
1841307683
Registry record updated Jan 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
R041293 Issued in GA
Practice address
970 Joe Frank Harris Pkwy SE
Suite 350
Cartersville, GA 30120-2159
Phone
(770) 386-3011
Fax
(770) 386-9451
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X R041293 GA Primary

Addresses

Primary practice location

970 Joe Frank Harris Pkwy SE
Suite 350
Cartersville, GA 30120-2159

Mailing address

PO Box 200429
Cartersville, GA 30120-9008
Phone (770) 386-3011

Other identifiers 1

IdentifierTypeStateIssuer
00520066CMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
R041293GAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cartersville Pediatric Associates Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1841307683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 200429",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301209008",
            "telephone_number": "770-386-3011",
            "fax_number": "770-386-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 JOE FRANK HARRIS PKWY SE",
            "address_2": "SUITE 350",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202159",
            "telephone_number": "770-386-3011",
            "fax_number": "770-386-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "STEVE",
        "name_prefix": "Mr.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "GA",
            "license": "R041293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00520066C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.