Individual provider Active NPI

Wilma Thomas, C.R.N.A.

  • Certified Registered Nurse Anesthetist
  • Snellville, GA
National Provider Identifier
1992788319
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN046507 Issued in GA
Practice address
3700 Gin Way
Snellville, GA 30039-2732
Phone
(770) 314-5104
NPI assigned
Nov 21, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN046507 GA Primary

Addresses

Primary practice location

3700 Gin Way
Snellville, GA 30039-2732

Mailing address

3700 Gin Way
Snellville, GA 30039-2732
Phone (770) 483-8915

Other practice location 1

777 Hemlock St
Macon, GA 31201-2102
Phone (478) 331-1000

Other identifiers 1

IdentifierTypeStateIssuer
000870581EMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000282 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608837521 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Alabama School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Everest Anesthesia LLCGroup PAC ID 2961868559, 18 clinicians
Anesthesia Dynamics LLCGroup PAC ID 3779832530, 883 clinicians

Practice addresses (Care Compare)

1265 Hwy 54 W
Suite 401
Fayetteville, GA 30214-4537
Phone (843) 651-2624

34 Upper Riverdale Rd SE
Suite 201
Riverdale, GA 30274-2635
Phone (678) 904-9710

Merit-based Incentive Payment System (MIPS)

Final score
96.48 of 100Reported as group
Quality
87.56
Promoting interoperability
100
Improvement activities
40
Cost
75.14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN046507GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
SG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2024 Accepting new patients
Gi Anesthesia of Georgia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 5, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 25, 2023 Accepting new patients
American Anesthesiology Associates of Georgia, LLC CurrentSince Sep 3, 2023 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Dec 10, 2023 Accepting new patients
Progressive Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 7, 2016 Accepting new patients
Everest Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 19, 2023 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Dec 10, 2023 Accepting new patients
RG Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Coastal Ambulatory Anesthesia LLC CurrentSince Apr 5, 2022 Accepting new patients
GSG Anesthesia, LLC CurrentSince Jan 1, 2022 Accepting new patients
Oconee River Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2024 Accepting new patients
Rockdale Anesthesia Services, P.C. PastSince Mar 1, 2003 Accepting new patients
New London Anesthesia & Pain Consultants PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Grady Memorial Hospital Corporation Past Accepting new patients
Digestive Healthcare of Ga, P.C. PastSince Nov 7, 2016 Accepting new patients
Ahp of Georgia, LLC Nurse Anesthetist, Certified Registered PastSince Aug 1, 2004 Accepting new patients

Locations

7956 Vaughn Rd
Ste 165
Montgomery, AL 36116

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

550 Peachtree St NE
Ste 1620
Atlanta, GA 30308
Phone (404) 881-1094

550 Peachtree St NE
Ste 1660
Atlanta, GA 30308
Phone (404) 253-6820

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

1265 Highway 54 W
Ste 401
Fayetteville, GA 30214
Phone (678) 617-6505

1265 Highway 54 W
Ste 402
Fayetteville, GA 30214
Phone (770) 719-3240

1945 Beverly Rd
Gainesville, GA 30501
Phone (770) 287-1500

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

301 Philip Blvd
Ste B
Lawrenceville, GA 30046
Phone (770) 682-7220

721 Wellness Way
Ste 110
Lawrenceville, GA 30046
Phone (770) 995-7923

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

1200 Lower Fayetteville Rd
#A
Newnan, GA 30265
Phone (404) 881-1094

34 Upper Riverdale Rd SE
Ste 201
Riverdale, GA 30274
Phone (678) 904-0094

11 John Maddox Dr NW
Rome, GA 30165
Phone (406) 295-3992

5671 Ptree Dunwoody Rd NE
Ste 680
Sandy Springs, GA 30342
Phone (404) 705-6985

1139 Lexington Ave
Savannah, GA 31404
Phone (912) 303-4200

1360 Caduceus Way
Bldg 300
Watkinsville, GA 30677
Phone (706) 850-4985

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1992788319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 GIN WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300392732",
            "telephone_number": "770-483-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 GIN WAY",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300392732",
            "telephone_number": "770-314-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312012102",
            "country_code": "US",
            "telephone_number": "478-331-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "WILMA",
        "credential": "C.R.N.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN046507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000870581E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.