NPIMap

Individual provider Active NPI

Patrick Maurice Thomae, D.O.

  • Family Medicine Physician
  • Evans, GA
National Provider Identifier
1972898476
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68625 Issued in GA
Practice address
1205 Town Park LN
Evans, GA 30809-3481
Phone
(706) 868-3100
Fax
(706) 228-3125
NPI assigned
Jun 13, 2011
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 68625 GA Primary
Aerospace Medicine Physician 2083A0100X 68625 GA

Addresses

Primary practice location

1205 Town Park LN
Evans, GA 30809-3481

Mailing address

1205 Town Park LN
Evans, GA 30809-3481
Phone (706) 868-3100

Other identifiers 1

IdentifierTypeStateIssuer
003258982AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211111002576 GA Practitioner - Family Practice 4284921594 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evans Medical GroupGroup PAC ID 7719976521, 14 clinicians

Practice addresses (Care Compare)

1205 Town Park LN
Evans, GA 30809-3481
Phone (706) 868-3100

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68625GAMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juanita G Trimor MD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrick.thomae.1@7697.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1972898476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 TOWN PARK LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093481",
            "telephone_number": "706-868-3100",
            "fax_number": "706-228-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 TOWN PARK LN",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093481",
            "telephone_number": "706-868-3100",
            "fax_number": "706-228-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAE",
        "first_name": "PATRICK",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "68625",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "GA",
            "license": "68625",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003258982A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.