Charles E Thomas, CRNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1-084368 Issued in AL

Practice address

3312 Henry Rd
Anniston, AL 36207-6344

Phone

(256) 241-2671

Fax

(256) 241-2676

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

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.

• Pediatrics Plus, P.C.

  • Pediatric Nurse Practitioner
  • Anniston, AL
  • NPI 1104137439

  Pediatrics

  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.thomas@pedplus.direct.medconnect-inc.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2014.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405987200000",
    "number": "1922018209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 HENRY RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362076344",
            "telephone_number": "256-241-2671",
            "fax_number": "256-241-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 HENRY RD",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362076344",
            "telephone_number": "256-241-2671",
            "fax_number": "256-241-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "CHARLES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AL",
            "license": "1-084368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "511-09542",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122018",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Surgical Clinic of Anniston, PA
• Thelma Reeves LCSW LLC
• There Is Know Place Like Home 2 LLC.
• Thomas D Sharp DMD PC
• Carla N Thomas, M.D.
• Larry Thomas
• Melissa Veronica Thomas, REGISTERED NURSE
• Shannon R. Thomas, DMD
• Tarisha Thomas
• Thompson Counseling

• All providers in Anniston, AL
• Pediatric Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; 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.