Thomas J. Demarco

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

32718 Issued in GA

Legal business name

THOMAS J. DEMARCO

Practice address

3969 S Cobb Dr SE Ste 202
Smyrna, GA 30080-6317

Phone

(770) 432-5326

Fax

(770) 432-5740

NPI assigned

Sep 27, 2007

Last updated

Jun 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas J. Demarco, M.D., M.D.

Title

Owner

Phone

(770) 432-5326

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas John Demarco, MD

  • Gastroenterology Physician
  • Smyrna, GA
  • NPI 1093825846
  Medicare reassignment NPD
• Mary Lavonne Long, APRN

  • Family Nurse Practitioner
  • Smyrna, GA
  • NPI 1295877033
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560556800000",
    "number": "1922295617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE STE 202",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806317",
            "telephone_number": "770-432-5326",
            "fax_number": "770-432-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE STE 202",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806317",
            "telephone_number": "770-432-5326",
            "fax_number": "770-432-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J. DEMARCO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2019-06-15",
        "status": "A",
        "authorized_official_last_name": "DEMARCO, M.D.",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-432-5326",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "32718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "10BDBCW",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NUMBER",
            "identifier": "GRP4756",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Roeske Clinic, PC
• Steven Zachary Thellman, PHARMD
• Theodis Elzie, D.D.S., P.C. (Brighten Your Smile Dentistry)
• Nicole A Tholmer, LPC
• Thomas Eye Group PC (Thomas Eye Group)
• Michelle L Thomas Rhue, PHD, LCSW
• Randi Theresa Thomas
• Rhonda Thomas, SLP
• Indira Thomasson
• Accacia Thompson

• Gastroenterology Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.