DR. JOHN NATHANIEL THOMAS (NPI# 1871785253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871785253 |
| Entity Type | Individual |
| Full Name | DR. JOHN NATHANIEL THOMAS |
| Credential | D.C. |
| Practice Address |
170 Bastille Way Suite A Fayetteville GA 30214-7652 |
| Practice Telephone | 7704601911 |
| Practice Fax Number | 7704601811 |
| Mailing Telephone | 7704601911 |
| Mailing Fax Number | 7704601811 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIR005740 | GA | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639783715 | John Thomas | Massage Therapist | 16742 Sims Ln, Huntington Beach, CA 92649-3313 | 2020-09-04 |
| 1417575796 | John Robert Thomas | Student in an Organized Health Care Education/Training Program | 2476 Planters Rd, Lawrenceville, VA 23868-3229 | 2020-07-13 |
| 1932749264 | John Thomas | Social Worker | 21139 Hunter Woods Dr, Frankfort, IL 60423-2117 | 2020-01-15 |
| 1487217600 | John Edward Thomas | Pharmacist | 19600 E Us Highway 24 Ste 100, Woodland Park, CO 80863-8766 | 2019-04-15 |
| 1942755061 | John Brian Thomas | Pharmacist | 5450 Big Tyler Rd., Cross Lanes, WV 25313 | 2016-08-18 |
| 1275942260 | John Franklin Thomas II | Student in an Organized Health Care Education/Training Program | 1554 Emory Rd Ne, Atlanta, GA 30306-2409 | 2014-08-04 |
| 1558783571 | John Thomas | Chiropractor | 34730 Plymouth Rd, Livonia, MI 48150-1440 | 2014-01-09 |
| 1013255181 | John Mollison Thomas | Specialist/Technologist | 20759 County Road 101, Andalusia, AL 36420-8825 | 2013-01-24 |
| 1881969194 | John Thomas | Internal Medicine | 950 Campbell Ave # 11acsl1, West Haven, CT 06516-2770 | 2012-03-20 |
| 1710294764 | John Thomas IIi | Occupational Therapist | 2425 Court Street, Doylestown, PA 18901-2631 | 2010-09-10 |
| Street Address |
170 BASTILLE WAY SUITE A |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-7652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396105599 | Hope Youth and Family Services Inc | Community/Behavioral Health | 170 Bastille Way, Suite A, Fayetteville, GA 30214-7652 | 2016-03-01 |
| 1184966749 | Julia R Codrington | Counselor | 170 Bastille Way, Suite C, Fayetteville, GA 30214-7652 | 2013-03-21 |
| 1528307394 | Shereese Nicole Pearsall | Counselor | 170 Bastille Way, Fayetteville, GA 30214-7652 | 2013-02-13 |
| 1164793436 | Tere P Goodwin | Counselor | 170 Bastille Way, Suite C, Fayetteville, GA 30214-7652 | 2012-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954103 | James Killeen Jr. | Chiropractor | 3570 Old Milton Pkwy, Alpharetta, GA 30005-4464 | 2020-05-27 |
| 1366002412 | Carla Michelle Marrero-sanchez | Chiropractor | 4343 Shallowford Rd Ste H6, Marietta, GA 30062-5023 | 2019-06-19 |
| 1821564543 | Kenya Edwards | Chiropractor | 1290 Boulevard Lorraine Sw, Atlanta, GA 30311-3354 | 2018-10-20 |
| 1891297719 | Tasmin Fanning | Chiropractor | 44 Krog Street Northeast, 518, Atlanta, GA 30307-3030 | 2018-03-07 |
| 1114330362 | Advanced Family Wellness, L.L.C. | Chiropractor | 555 Sun Valley Dr Ste A3, Roswell, GA 30076-5606 | 2014-06-05 |
| 1518381938 | Sports Performance Concepts, LLC | Chiropractor | 9810b Medlock Bridge Rd, Suite 104, Johns Creek, GA 30097-2011 | 2014-02-05 |
| 1720424310 | Georgia Gwinnett Clinic | Chiropractor | 2856 Buford Highway, Suite 7, Duluth, GA 30096 | 2013-05-22 |
| 1023381704 | Jinjiang Li | Chiropractor | 4018 Nine Mcfarland Dr, Alpharetta, GA 30004-3384 | 2012-02-11 |
| 1336434109 | Byung Yull Kim | Chiropractor | 2856 Buford Hwy, Suite 7, Duluth, GA 30096-3400 | 2011-06-09 |
| 1760775852 | Zoila Rosa Stewart | Chiropractor | 1374 Pair St Se, Marietta, GA 30008-3807 | 2011-05-23 |
| Find all providers with the same taxonomy | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.