Individual provider Active NPI

Kristen Ashley Thomas, PA-C

  • Medical Physician Assistant
  • Statesboro, GA
National Provider Identifier
1871938415
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006806 Issued in GA
Practice address
658 Northside Dr E Ste a
Statesboro, GA 30458-4828
Phone
(912) 764-9684
Fax
(912) 489-8676
NPI assigned
May 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 006806 GA Primary

Addresses

Primary practice location

658 Northside Dr E Ste a
Statesboro, GA 30458-4828

Mailing address

601 S Veterans Blvd
Glennville, GA 30427-1775

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150406001373 GA Practitioner - Physician Assistant 1759609605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Augusta ENT PCGroup PAC ID 9537156484, 24 clinicians

Practice addresses (Care Compare)

1301 Statesboro Place Cir
Statesboro, GA 30458-2211
Phone (706) 868-5676

340 N Belair Rd
Evans, GA 30809-3000
Phone (706) 868-5676

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
006806GAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta ENT PC CurrentSince Jun 1, 2025 Accepting new patients
Ear, Nose & Throat Associates of Savannah, P.C. CurrentSince Nov 19, 2018 Accepting new patients
Augusta ENT PC CurrentSince Jun 1, 2025 Accepting new patients
Ear, Nose & Throat Associates of Savannah, PC CurrentSince Nov 19, 2018 Accepting new patients
Ear, Nose & Throat Associates of Savannah, PC Past Accepting new patients
SMG-Occupational Health Clinic PastSince May 21, 2023 Accepting new patients

Locations

804 Scott Nixon Memorial Dr
#D
Augusta, GA 30907

340 N Belair Rd
Evans, GA 30809
Phone 7068685676650

804 Scott Nixon Memorial Dr
Martinez, GA 30907

5201 Frederick St
Savannah, GA 31405

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEEICD

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1871938415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S VETERANS BLVD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304271775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 NORTHSIDE DR E STE A",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304584828",
            "telephone_number": "912-764-9684",
            "fax_number": "912-489-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KRISTEN",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-09",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "006806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesboro, GA

Sources for this page

Verify at the official NPI Registry.