DERRICK JACKSON THOMAS


Address: 1 Bonnybridge Rd, Savannah, GA 31407-1312
Phone: 7047969595

DERRICK JACKSON THOMAS (NPI# 1033610415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033610415
Entity Type Individual
Full Name DERRICK JACKSON THOMAS
Credential ATC
Practice Address 1 Bonnybridge Rd
Savannah
GA 31407-1312
Mailing Address 1 Bonnybridge Rd
Port Wentworth
GA 31407-1312
Practice Telephone 7047969595
Mailing Telephone 7047969595
Enumeration Date 2018-02-22
Last Update Date 2018-02-22
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT003116 GA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers DERRICK THOMAS

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1427593201 Derrick Thomas Counselor 11502 Big Mesa Dr, San Antonio, TX 78245-2257 2017-01-03
1851834089 Derrick D Thomas Counselor 21120 Fuller Ave, Euclid, OH 44123-2710 2016-11-19
1700258605 Derrick Thomas Counselor 2601 Hoyer St, Bossier City, LA 71112 2015-10-30
1114482361 Derrick Maurice Thomas Social Worker 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2019-02-01
1437552601 Derrick Thomas Physician Assistant 22 Industrial Park Rd, Brookville, PA 15825-7228 2014-10-02

Office Location

Street Address 1 BONNYBRIDGE RD
City SAVANNAH
State GA
Zip Code 31407-1312

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295969228 Kurt Singh Kang Internal Medicine 101 W Mulberry Blvd Ste 100, Savannah, GA 31407 2009-05-05
1144829102 Estefania Salinas Counselor 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 2020-10-21
1861038044 Mara Dawne Carson Nurse Practitioner 1515 Benton Blvd Apt 1328, Savannah, GA 31407-0440 2019-11-21
1831620087 Pharmdixon Consulting LLC Pharmacy 2155 Benton Blvd, 13203, Savannah, GA 31407-0491 2017-03-21
1043209240 Westview Nursing and Rehabilitation Center, LLC Skilled Nursing Facility 1000 Dorset Rd, Port Wentworth, GA 31407-1517 2005-10-19
1922575679 Pruitthealth - Seaside, LLC Skilled Nursing Facility 1000 Dorset Rd, Port Wentworth, GA 31407-1517 2018-10-31
1477060705 Benjamin Lane Richey Behavior Technician 204 Turnberry St, Port Wentworth, GA 31407-1925 2018-01-09
1538772363 Marian Marshall Social Worker 117 Whitehavven Rd, Savannah, GA 31407-3140 2020-08-31
1699120410 Dr Kenneith Durden Outreach Counselor 41 Moonlight Trl, Port Wentworth, GA 31407-3321 2016-04-29
1508405952 Shannon Williams Technician/Technologist 34 Birch Cir, Port Wentworth, GA 31407-3376 2020-01-02
Find all providers in zip 31407

Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285243659 Julie Landrigan Specialist/Technologist 2918 Fenwick Village Dr, Savannah, GA 31419-8474 2020-07-30
1710527973 Lauren Paige Griggs Specialist/Technologist 5701 Garrard Ave, Savannah, GA 31405-2723 2020-01-15
1568933075 Sean Langan Specialist/Technologist 1124 E Victory Dr Apt A, Savannah, GA 31404-4171 2018-12-09
1083194062 Alexandrea Shumate Specialist/Technologist 19 Hawkhorn Ct, Savannah, GA 31407-3949 2018-08-18
1194188490 Clinton Brif Specialist/Technologist 2415 Fenwick Village Dr, Savannah, GA 31419-8468 2016-04-04
1497145353 Katy Ann Margeson Specialist/Technologist 9520 Ferguson Ave, Savannah, GA 31406-6332 2015-01-30
1134536881 David Patch Specialist/Technologist Pediatric Residency Program, Memorial University, Medical Center 4700 Waters Avenue, Savannah, GA 31404 2014-07-15
1912102872 Jenifer Ellen Roberts Specialist/Technologist 5616 La Roche Ave, Savannah, GA 31406-3115 2007-06-19
1477580405 Jeremy Johnson Specialist/Technologist 4 Longwood Cir, Savannah, GA 31405-1014 2006-06-26
1306809835 Brian S Tuten Specialist/Technologist 6502 Seawright Dr, Savannah, GA 31406-2752 2006-04-07
Find all providers in SAVANNAH

Competitor

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City SAVANNAH
Zip Code 31407

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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