Individual provider Active NPI

Cynthia Kay Thornton, APRN

  • Family Nurse Practitioner
  • Ringgold, GA
National Provider Identifier
1992894166
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R117550 Issued in GA
Practice address
6553 Highway 41
Ringgold, GA 30736-2641
Phone
(706) 937-2777
Fax
(706) 937-3012
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R117550 GA Primary

Addresses

Primary practice location

6553 Highway 41
Ringgold, GA 30736-2641

Mailing address

6553 Highway 41
Ringgold, GA 30736-2641
Phone (706) 937-2777

Other identifiers 1

IdentifierTypeStateIssuer
00897828AMedicaidGA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120117000173 GA Practitioner - Nurse Practitioner 2668417304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R117550GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Care Medical Center Family CurrentSince Jan 2, 2000 Accepting new patients

Locations

6553 Highway 41
Ringgold, GA 30736
Phone (706) 937-2777

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992894166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 HIGHWAY 41",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362641",
            "telephone_number": "706-937-2777",
            "fax_number": "706-937-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 HIGHWAY 41",
            "city": "RINGGOLD",
            "state": "GA",
            "postal_code": "307362641",
            "telephone_number": "706-937-2777",
            "fax_number": "706-937-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "CYNTHIA",
        "middle_name": "KAY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "R117550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00897828A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ringgold, GA

Sources for this page

Verify at the official NPI Registry.