JESSICA JE'NAE THOMAS (NPI# 1104264183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104264183 |
Entity Type | Individual |
Full Name | JESSICA JE'NAE THOMAS |
Other Name | JESSICA JE'NAE MILLER |
Credential | WHNP |
Practice Address |
1458 Church St Ste B Decatur GA 30030-1672 |
Mailing Address |
1458 Church St Decatur GA 30030-1671 |
Practice Telephone | 4045085012 |
Practice Fax Number | 4045085560 |
Mailing Telephone | 4045085012 |
Mailing Fax Number | 4045085560 |
Enumeration Date | 2013-06-12 |
Last Update Date | 2019-10-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN828608 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003144453C | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2675 N Decatur Rd, Suite 512, Decatur, GA 300336131 | 4045085012 | 7704841900 |
5295 Stone Mountain Hwy Ste N, Stone Mountain, GA 300873439 | 4045082000 | 4043770550 |
8052 Mall Pkwy Ste 202, Lithonia, GA 300382649 | 4045082000 | 4043770550 |
2633 N Decatur Rd, Decatur, GA 300336103 | 4045082000 | 4043770550 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
1669079604 | Jessica Yvonne Thomas | Military Health Care Provider | 64 Verdant Oak Aly, Clarksburg, MD 20871-3504 | 2020-10-02 |
1083171540 | Jessica Ann Thomas | Registered Nurse | 274 Hooker Ave Apt D1, Poughkeepsie, NY 12603-3025 | 2019-02-20 |
1215402722 | Jessica Myers Thomas | Lactation Consultant, Non-RN | 679 Sarecta Rd, Kenansville, NC 28349-8657 | 2018-10-11 |
1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
1790208759 | Jessica Brooke Thomas | Lactation Consultant, Non-RN | 887 Holley Ct, Folsom, CA 95630-3518 | 2017-07-21 |
1346699923 | Jessica Thomas | Counselor | 1109 Cook Trl, Brantley, AL 36009-4130 | 2016-06-06 |
1629424353 | Jessica Lorita Thomas | Counselor | 20 W Bank St Ste 6, Petersburg, VA 23803-3279 | 2016-05-12 |
1477918043 | Jessica Denise Thomas | Counselor | 1138 Pecan Blvd, Jackson, MS 39209-7146 | 2015-12-23 |
1912382656 | Jessica Thomas | Registered Nurse | 80600 State Rd # 258, Tippecanoe, OH 44699-9753 | 2015-07-23 |
Street Address |
1458 CHURCH ST STE B |
City | DECATUR |
State | GA |
Zip Code | 30030-1672 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104819689 | Kathleen S Johnson | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2005-08-30 |
1285283762 | Swiyyah Harrington | Advanced Practice Midwife | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2019-09-08 |
1619431897 | Antoinette Holmes | Midwife | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2019-01-22 |
1336699719 | Lori Powers | Advanced Practice Midwife | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2016-10-10 |
1477828622 | Diana Julia Calano | Advanced Practice Midwife | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2012-03-20 |
1356664957 | Janice Burgin | Nurse Practitioner | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2010-03-10 |
1437324597 | Trudy L Seivwright | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2008-04-29 |
1699961870 | Stacy Reynolds | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2007-09-20 |
1225085475 | Dekalb Women's Specialists | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2006-05-30 |
1306839808 | Albert Scott Jr. | Obstetrics & Gynecology | 1458 Church St Ste B, Decatur, GA 30030-1672 | 2005-08-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
Find all providers in zip 30030 |
Taxonomy Code | 363LW0102X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Women's Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497368328 | Jennifer Cobb | Nurse Practitioner | 130 Champlain St, Decatur, GA 30030-1803 | 2020-08-29 |
1992235469 | Nijah Alish Chapman | Nurse Practitioner | 2665 N Decatur Rd Ste 255, Decatur, GA 30033-6176 | 2017-06-15 |
1598041741 | Netcare Medical Clinic Decatur, Inc | Nurse Practitioner | 4284 Memorial Dr Ste C, Suite C, Decatur, GA 30032-1220 | 2011-11-01 |
1952603201 | Surayyah W. Fareed | Nurse Practitioner | 2855 Candler Rd Ste 14, Decatur, GA 30034-1415 | 2010-11-18 |
1801103387 | State of Alabama Department of Public Health | Nurse Practitioner | 510 Cherry St. Ne, Decatur, AL 35602-1628 | 2010-09-07 |
1467462085 | Connie H Requarth | Nurse Practitioner | 2905 North Main Street, Decatur, IL 62526-4274 | 2006-08-08 |
1871502005 | Evelyn R Morales | Nurse Practitioner | 2675 N Decatur Rd Ste 301, Suite 301, Decatur, GA 30033-6132 | 2006-08-05 |
1497354054 | Hannah Elizabeth Bergbower | Nurse Practitioner | 2675 N Decatur Rd Ste 607, Decatur, GA 30033-6134 | 2020-10-23 |
1912325267 | Diane Rainford | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-04-03 |
1902220429 | Andi Christine Petito | Nurse Practitioner | 3110 Clifton Springs Rd, Decatur, GA 30034-4600 | 2014-02-05 |
Find all providers in DECATUR |
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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.