Active NPI
Kristen Ann Thomas, M.D.
- Dermatology Physician
- Watkinsville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 67815
- Practice address
- 1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7210 - Phone
- (706) 543-5858
- Fax
- (706) 543-2050
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 141562 | NC | |
| Dermatology Physician | 207N00000X | 67815 | GA | Primary |
Addresses
Primary practice location
1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7210
Mailing address
1180 Resurgence Dr
Suite100
Watkinsville, GA 30677-7210
Phone (706) 543-5858
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Medical College of Georgia School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7211
Phone 70654358583207
Hospital & facility affiliations
- Piedmont Athens Regional Medical Center
- St Marys Good Samaritan Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.62 of 100
- Quality
- 78.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.84
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1814 |
| Removal or shaving of skin growth | 23 |
| Skin biopsy | 261 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 141562 | NC | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Skin Cancer Surgery Center, LLC | Current | Accepting new patients | |
| Dermatology Associates of Georgia, LLC | Current | Accepting new patients | |
| Georgia Skin Cancer & Aestheitic Dermatology, LLC | Dermatology | Current | Accepting new patients |
Locations
1500 Oglethorpe Ave
Ste 300A
Athens, GA 30606
Phone (706) 614-1750
1951 Clairmont Rd
Decatur, GA 30033
Phone (404) 321-4600
35 Chestnut St
Elberton, GA 30635
Phone (706) 408-5080
1000 Cowles Clinic Way
Ste W-100
Greensboro, GA 30642
Phone 7065435858 ext. 3202
1046 Salem Walk Dr
Greensboro, GA 30642
540 Charter Blvd
Ste 200
Macon, GA 31210
Phone (478) 283-0003
1027 Bateman Dr
Social Circle, GA 30025
1180 Resurgence Dr
Ste 100
Watkinsville, GA 30677
Phone 70654358583202
Interoperability endpoints
- kristen.thomas@georgiaderm.gadirect.net
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kristen.thomas.p1@direct.dermga.nextgenshare.com
Organizations & group practices 3
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.
-
- Dermatology Physician
- Watkinsville, GA
- NPI 1205026168
-
- Specialist
- Decatur, GA
- NPI 1063560803
-
- Ambulatory Surgical Clinic/Center
- Watkinsville, GA
- NPI 1598174708
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Athens, GA
- NPI 1437186111
-
- Critical Access Hospital
- Greensboro, GA
- NPI 1346209137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1891960696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 RESURGENCE DR",
"address_2": "SUITE100",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777210",
"telephone_number": "706-543-5858",
"fax_number": "706-543-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 RESURGENCE DR",
"address_2": "SUITE 100",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777210",
"telephone_number": "706-543-5858",
"fax_number": "706-543-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "KRISTEN",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-23",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "141562",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "67815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.