Individual provider Active NPI

Alice C Thomas, FNP

  • Family Nurse Practitioner
  • Holly Springs, MS
National Provider Identifier
1992575344
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
906420 Issued in MS
Practice address
603 Craft St
Holly Springs, MS 38635-3250
Phone
(662) 333-8070
Fax
(662) 333-8071
NPI assigned
Jan 8, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 906420 MS Primary
Primary Care Nurse Practitioner 363LP2300X 906420 MS

Addresses

Primary practice location

603 Craft St
Holly Springs, MS 38635-3250

Mailing address

PO Box 306415
Nashville, TN 37230-6415
Phone (931) 253-1110

Other practice location 1

1004 Ridge Ave
Ashland, MS 38603-7273
Phone (662) 252-9703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240625000516 MS Practitioner - Nurse Practitioner 0840733358 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Mississippi, PLLC Multi-Specialty CurrentSince Jun 1, 2024 Accepting new patients
Fast Pace Mississippi, PLLC CurrentSince Jun 1, 2024 Accepting new patients
New Albany OB/GYN Clinic PC Multi-Specialty Current Accepting new patients

Locations

602 Craft St
Holly Springs, MS 38635
Phone (662) 333-8070

603 Craft St
Holly Springs, MS 38635
Phone (662) 333-8070

517 City Ave S
Ripley, MS 38663
Phone (662) 587-8206

Interoperability endpoints

  • Direct secure messaging: alice.thomas.1@31210.direct.athenahealth.com
  • Direct secure messaging: alice.thomas.1@8477.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1992575344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306415",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306415",
            "telephone_number": "931-253-1110",
            "fax_number": "931-722-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 CRAFT ST",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353250",
            "telephone_number": "662-333-8070",
            "fax_number": "662-333-8071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "MS",
            "postal_code": "386037273",
            "country_code": "US",
            "telephone_number": "662-252-9703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ALICE",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "906420",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MS",
            "license": "906420",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, MS

Sources for this page

Verify at the official NPI Registry.