Individual provider Active NPI

Ruby S Thomas, M.D.

  • Pediatrics Physician
  • Atlanta, GA
National Provider Identifier
1912154832
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
66654 Issued in GA
Practice address
235 Central Ave SW Ste B
Atlanta, GA 30303-3642
Phone
(404) 546-4730
NPI assigned
Aug 21, 2008
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 66654 GA Primary

Addresses

Primary practice location

235 Central Ave SW Ste B
Atlanta, GA 30303-3642

Mailing address

3371 Luxembourg Cir
Decatur, GA 30034-5418
Phone (404) 451-4862

Other identifiers 1

IdentifierTypeStateIssuer
003123497IMedicaidGA

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
I20130712000656 GA Practitioner - Pediatric MedicinePractitioner - Preventive Medicine 4486894557 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Health Education, Assessment and Leadership, Inc CurrentSince Jul 20, 2022 Accepting new patients
Health Education Assessment and Leadership, Inc Past Accepting new patients

Locations

4215 Bakers Ferry Rd SW
Atlanta, GA 30331
Phone (404) 564-7729

3915 Cascade Rd SW
Ste T-90
Atlanta, GA 30331
Phone (404) 989-9891

Interoperability endpoints

  • Direct secure messaging: rthomas32768@choa.gadirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/DJFHBD
  • Direct secure messaging: ruby.thomas.1@14940.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1912154832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3371 LUXEMBOURG CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345418",
            "telephone_number": "404-451-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CENTRAL AVE SW STE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033642",
            "telephone_number": "404-546-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "RUBY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "66654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003123497I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.