Individual provider Active NPI

Wayne Eric Thomas, M.D.

  • Family Medicine Physician
  • Decatur, AL
National Provider Identifier
1881688968
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00014586 Issued in AL
Practice address
2828 Highway 31 S
Suite 109
Decatur, AL 35603-1510
Phone
(256) 351-1591
Fax
(256) 351-1596
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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 00014586 AL Primary

Addresses

Primary practice location

2828 Highway 31 S
Suite 109
Decatur, AL 35603-1510

Mailing address

2828 Highway 31 S
Suite 109
Decatur, AL 35603-1510
Phone (256) 351-1591

Other identifiers 3

IdentifierTypeStateIssuer
63-1004625OtherCOMMERCIAL
000019709MedicaidAL
51019709OtherALBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080221000082 AL Practitioner - Family Practice 8921182551 Practice locations: Decatur, AL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2828 Hwy 31 S
Suite 109
Decatur, AL 35603-1538
Phone (256) 351-1591

Hospital & facility affiliations

  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00014586ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne E. Thomas, MD Family Medicine CurrentSince Jan 1, 1990 Accepting new patients

Locations

2828 Highway 31 S
Ste 109
Decatur, AL 35603
Phone (256) 301-8989

Networks

  • bcbs alabama network 01C0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01H0
  • bcbs alabama network 01G0

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.

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1881688968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S",
            "address_2": "SUITE 109",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031510",
            "telephone_number": "256-351-1591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S",
            "address_2": "SUITE 109",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031510",
            "telephone_number": "256-351-1591",
            "fax_number": "256-351-1596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WAYNE",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00014586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL",
            "identifier": "63-1004625",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000019709",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51019709",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.