Amanda Gail Thomas

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

907252 Issued in MS

Practice address

4500 13TH St
Gulfport, MS 39501-2515

Phone

(601) 288-3441

Fax

(601) 288-3460

NPI assigned

Feb 25, 2025

Last updated

Mar 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern Mississippi Neonatology, PA

  • Neonatal-Perinatal Medicine Physician
  • Hattiesburg, MS
  • NPI 1578691499

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1902602303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1108 OAKLEIGH DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394023068",
            "telephone_number": "601-288-3441",
            "fax_number": "601-288-3460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "601-288-3441",
            "fax_number": "601-288-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "AMANDA",
        "middle_name": "GAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "907252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Power of Healing Counseling Services LLC.
• The Site for Pediatric Occupational Therapy (SPOT Therapy)
• The Urology Clinic, LLC (The Urology Clinic)
• Heather Lynn Theisen, ARNP
• Theres a Will, LLC
• Carricka D Thomas, FNP-BC
• Joshua Thomas, M.D.
• Stormie Thomas
• Joel D Thomason, BHCMII
• Carol Leigh Anne Thompson

• Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.