Active NPI
Geogy Thomas, M.D.
- Family Medicine Physician
- Jellico, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34083
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64018591 | Medicaid | KY | |
| 35929 | Other | KY | STATE LICENSE |
| 3856408 | Medicaid | TN | |
| 34083 | Other | TN | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35929 | KY | MD | Family Medicine Physician |
| 34083 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayspring Health Inc | Family Medicine | Current | Accepting new patients |
| Dayspring Health, Inc. | Family Medicine | Current | Accepting new patients |
| Dayspring Auxiliary Services, LLC | Current | Accepting new patients | |
| Dayspring Health, Inc. | Current | Accepting new patients | |
| Dayspring Health Inc | Family Medicine | Current | 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
- 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Dayspring Health Inc | Federally qualified health center | Corporate Officer Corporate Director |
Feb 1, 2020 Jan 1, 2020 |
| Dayspring Jellico | Federally qualified health center | Corporate Officer | Feb 1, 2020 |
| Dayspring Regional Health Center | 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.
-
dba Clear Fork Clinic
- Federally Qualified Health Center (FQHC)
- Clairfield, TN
- NPI 1013049469
Corporate Director, Corporate Officer
-
dba Dayspring Jellico
- Federally Qualified Health Center (FQHC)
- Jellico, TN
- NPI 1023022084
Corporate Officer
-
dba Dayspring Regional Health Center
- Federally Qualified Health Center (FQHC)
- Williamsburg, KY
- NPI 1538867551
Corporate Officer, W-2 Managing Employee
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.
-
dba Clear Fork Clinic
- Federally Qualified Health Center (FQHC)
- Clairfield, TN
- NPI 1013049469
Family Medicine
-
dba Dayspring Dental
- Federally Qualified Health Center (FQHC)
- Williamsburg, KY
- NPI 1871631804
Family Medicine
-
dba Dayspring Jellico
- Federally Qualified Health Center (FQHC)
- Jellico, TN
- NPI 1023022084
Family Medicine
-
- Physiological Laboratory
- Williamsburg, KY
- NPI 1134990070
-
dba Dayspring Regional Health Center
- Federally Qualified Health Center (FQHC)
- Williamsburg, KY
- NPI 1538867551
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.