Individual provider Active NPI

Thomas Taylor Sholes, M.D.

  • Obstetrics & Gynecology Physician
  • Athens, GA
National Provider Identifier
1982990966
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4752 Issued in GA
Practice address
1000 Hawthorne Ave
Suite K
Athens, GA 30606-2168
Phone
(706) 286-8692
Fax
(706) 286-8693
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4752 GA Primary

Addresses

Primary practice location

1000 Hawthorne Ave
Suite K
Athens, GA 30606-2168

Mailing address

1000 Hawthorne Ave
Suite K
Athens, GA 30606-2168
Phone (706) 286-8692

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
I20150720001258 GA Practitioner - Obstetrics/Gynecology 4486966926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Georgia School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sas Womens Healthcare LLCGroup PAC ID 2961705090, 2 clinicians

Practice addresses (Care Compare)

1000 Hawthorne Ave
Athens, GA 30606-2168

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4752GAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sas Womens Healthcare LLC Obstetrics & Gynecology CurrentSince Jan 1, 2016 Accepting new patients
St. Mary'S Hospital, Inc. Past Accepting new patients

Locations

1000 Hawthorne Ave
Ste K
Athens, GA 30606
Phone (706) 207-6601

1000 Hawthorne Ave
Ste J
Athens, GA 30606
Phone (706) 286-8344

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1982990966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HAWTHORNE AVE",
            "address_2": "SUITE K",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062168",
            "telephone_number": "706-286-8692",
            "fax_number": "706-286-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HAWTHORNE AVE",
            "address_2": "SUITE K",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062168",
            "telephone_number": "706-286-8692",
            "fax_number": "706-286-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLES",
        "first_name": "THOMAS",
        "middle_name": "TAYLOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "4752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.