Active NPI
Peter C Thomas, PH.D.
- Psychologist
- Atlanta, GA
National Provider Identifier
1902932296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 743
- Practice address
- 3500 Piedmont Rd NE
Suite 775
Atlanta, GA 30305-1507 - Phone
- (404) 364-1626
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 743 | GA | Primary |
Addresses
Primary practice location
3500 Piedmont Rd NE
Suite 775
Atlanta, GA 30305-1507
Mailing address
1821 Morris Landers Dr NE
Atlanta, GA 30345-4103
Phone (404) 633-3725
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 5, 2019 through Dec 5, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 743 | GA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902932296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1821 MORRIS LANDERS DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303454103",
"telephone_number": "404-633-3725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 PIEDMONT RD NE",
"address_2": "SUITE 775",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051507",
"telephone_number": "404-364-1626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "PETER",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.