Individual provider Active NPI

Geogy Thomas, M.D.

  • Family Medicine Physician
  • Jellico, TN
National Provider Identifier
1891798492
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34083 Issued in TN
Practice address
550 Sunset TRL
Jellico, TN 37762-2343
Phone
(423) 784-5771
Fax
(423) 784-6185
NPI assigned
May 27, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35929 KY
Family Medicine Physician 207Q00000X 34083 TN Primary

Addresses

Primary practice location

550 Sunset TRL
Jellico, TN 37762-2343

Mailing address

PO Box 540
Jellico, TN 37762-0540
Phone (423) 784-8492

Other practice location 1

402 Cumberland Ave
Williamsburg, KY 40769-1238
Phone (423) 784-8492

Other practice location 2

5663 Highway 90
Clairfield, TN 37715-3632
Phone (423) 784-5771

Other identifiers 4

IdentifierTypeStateIssuer
64018591MedicaidKY
35929OtherKYSTATE LICENSE
3856408MedicaidTN
34083OtherTNSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101207000749 KY Practitioner - Family Practice 3971795873 Reassigns benefits to 1 organization
I20101209000949 TN Practitioner - Family Practice 3971795873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayspring Health IncGroup PAC ID 7214990746, shared by 4 NPIs, 17 clinicians

Practice addresses (Care Compare)

402 Cumberland Ave
Williamsburg, KY 40769-1238
Phone (423) 784-5771

550 Sunset TRL
Jellico, TN 37762-2343
Phone (423) 784-5771

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35929KYMDFamily Medicine Physician
34083TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dayspring Health Inc Family Medicine Current Accepting new patients
Dayspring Health, Inc. Family Medicine CurrentSince Sep 5, 2000 Accepting new patients
Dayspring Auxiliary Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Dayspring Health, Inc. CurrentSince Sep 5, 2000 Accepting new patients
Dayspring Health Inc Family Medicine CurrentSince Sep 30, 2010 Accepting new patients

Locations

1047 S Highway 25 W
Williamsburg, KY 40769
Phone (606) 549-0449

402 Cumberland Ave
Williamsburg, KY 40769
Phone (423) 784-5771

5663 Highway 90
Clairfield, TN 37715
Phone (423) 784-5771

107 S Main St
Jellico, TN 37762
Phone (423) 784-8492

Interoperability endpoints

  • Direct secure messaging: jelgthoma@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dayspring Health IncClairfield, TN, CCN 441854 Federally qualified health center Corporate Officer
Corporate Director
Feb 1, 2020
Jan 1, 2020
Dayspring JellicoJellico, TN, CCN 441853 Federally qualified health center Corporate Officer Feb 1, 2020
Dayspring Regional Health CenterWilliamsburg, KY, CCN B01099 Federally qualified health center Corporate Officer
W-2 Managing Employee
Jan 1, 2020
Jan 1, 2020

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1891798492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377620540",
            "telephone_number": "423-784-8492",
            "fax_number": "423-784-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SUNSET TRL",
            "city": "JELLICO",
            "state": "TN",
            "postal_code": "377622343",
            "telephone_number": "423-784-5771",
            "fax_number": "423-784-6185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691238",
            "country_code": "US",
            "telephone_number": "423-784-8492",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5663 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Clairfield",
            "state": "TN",
            "postal_code": "377153632",
            "country_code": "US",
            "telephone_number": "423-784-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "GEOGY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2023-03-07",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "35929",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "34083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64018591",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35929",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3856408",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "34083",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jellico, TN

Sources for this page

Verify at the official NPI Registry.