Individual provider Active NPI

Kristen Ann Thomas, M.D.

  • Dermatology Physician
  • Watkinsville, GA
National Provider Identifier
1891960696
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
67815 Issued in GA
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

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120830000772 GA Practitioner - Dermatology 7113174855 Reassigns benefits to 1 organization

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
Georgia Skin Cancer and Aestheitic Dermatology, LLCGroup PAC ID 0244328649, 25 clinicians

Practice addresses (Care Compare)

1180 Resurgence Dr
Suite 100
Watkinsville, GA 30677-7211
Phone 70654358583207

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Marys Good Samaritan Hospital Hospital, Greensboro, GA, CCN 111329

Merit-based Incentive Payment System (MIPS)

Final score
85.62 of 100Reported as group
Quality
78.23
Promoting interoperability
100
Improvement activities
40
Cost
73.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1814
Removal or shaving of skin growth23
Skin biopsy261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
141562NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Skin Cancer Surgery Center, LLC Current Accepting new patients
Dermatology Associates of Georgia, LLC CurrentSince Sep 1, 2012 Accepting new patients
Georgia Skin Cancer & Aestheitic Dermatology, LLC Dermatology CurrentSince Nov 2, 2014 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

  • Direct secure messaging: kristen.thomas@georgiaderm.gadirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.