La Tanya Young Thomas

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002767 Issued in GA

Practice address

555 Sun Valley Dr
Suite G1
Roswell, GA 30076-5612

Phone

(770) 717-7000

NPI assigned

Jan 29, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• La Tanya Jerline Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1296259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296259200000",
    "number": "1861798498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300850993",
            "telephone_number": "404-429-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR",
            "address_2": "SUITE G1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765612",
            "telephone_number": "770-717-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "LA TANYA",
        "middle_name": "YOUNG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-29",
        "last_updated": "2011-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "002767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LA TANYA",
            "last_name": "YOUNG",
            "middle_name": "JERLINE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Thomas a. Johnson, DDS
• Thomas Eye Group PC
• Rosemary Thomas-Cloud, ANP-BC
• Colin Reid Thomas, APC
• Kernita Raynelle Thomas, CNM
• Le'Keldric Thomas
• Lover S Thomas
• Natasha J. Thomas, MD
• Stella Royette Thomas
• Steven Thomas

• Physician Assistant in Roswell, GA
• Providers in Roswell, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; 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.