CHARLSIE A THOMAS (NPI# 1962948422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962948422 |
| Entity Type | Individual |
| Full Name | CHARLSIE A THOMAS |
| Credential | PA-C |
| Practice Address |
1240 Jesse Jewell Pkwy Se Suite 500 Gainesville GA 30501-3862 |
| Practice Telephone | 7705369864 |
| Practice Fax Number | 7702975023 |
| Mailing Telephone | 7705369864 |
| Mailing Fax Number | 7702975023 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
008235 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | LICENSE | 008235 | 01 |
| Street Address |
1240 JESSE JEWELL PKWY SE SUITE 500 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-3862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879881 | C. Shane Bussler | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Ste 500, Gainesville, GA 30501-3861 | 2005-05-23 |
| 1346780251 | Ashley Wilkins | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501-3862 | 2017-02-27 |
| 1780128272 | Lauren H Darnell | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2016-12-19 |
| 1912452061 | Kristina Stefanova James | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 400, Gainesville, GA 30501-3862 | 2016-08-18 |
| 1124486238 | Brandon Lee Morrow | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Ste 300, Gainesville, GA 30501-3862 | 2016-02-03 |
| 1427413962 | Sherry Hope Flanagan | Nurse Practitioner | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2015-12-29 |
| 1457757593 | Colleen Mccoy | Physician Assistant | 1240 Jesse Jewell Pkwy Se, Gainesville, GA 30501 | 2014-11-18 |
| 1689009953 | Ernie Loza Aldaco | Registered Nurse | 1240 Jesse Jewell Pkwy Se, Suite 300, Gainesville, GA 30501-3862 | 2013-09-05 |
| 1871838375 | Laura J Johansen | Physical Therapist | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2012-12-10 |
| 1407110703 | Ryan Michael Nadelson | Internal Medicine | 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | 2012-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316417181 | Elizabeth H Yun | Physician Assistant | 7500 Iron Bar Ln Ste 215, Gainesville, VA 20155-3612 | 2018-12-04 |
| 1558666784 | Yanira Serralta | Physician Assistant | 4410 W Newberry Rd Ste 3, Gainesville, FL 32607-5200 | 2011-01-19 |
| 1912054578 | David A. Kireta | Physician Assistant | 4340 Newberry Rd, Suite 301, Gainesville, FL 32607-2557 | 2007-01-05 |
| 1306911375 | North Florida Neurosurgery | Physician Assistant | 6510 Nw 9th Blvd Ste 1, Gainesville, FL 32605-4245 | 2006-11-22 |
| 1366530610 | Andrew F Roush | Physician Assistant | 200 Academy Street, Gainesville, GA 30501 | 2006-10-11 |
| 1003907445 | William R Wright | Physician Assistant | 4343 W. Newberry Road, Suite 13, Gainesville, FL 32607 | 2006-09-28 |
| 1235237165 | Elizabeth Courtney Wilhem | Physician Assistant | 4741 Nw 8th Ave Ste C, Gainesville, FL 32605-5511 | 2006-09-21 |
| 1265445324 | Joy Steinkraus | Physician Assistant | 743 Spring Street Ne, Gainesville, GEORGIA 30501 | 2006-08-13 |
| 1225053572 | Julie Ann Hopper | Physician Assistant | 2435 Old Cornelia Hwy, Gainesville, GA 30507-7854 | 2006-07-13 |
| 1053346296 | Audrey B Gibson | Physician Assistant | 961 Smoky Mountain Springs Lane Ne, Ste A, Gainesville, GA 30501 | 2006-07-12 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on CHARLSIE A THOMAS.
| 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.