TRISTAN KEON THOMAS (NPI# 1114367711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114367711 |
| Entity Type | Individual |
| Full Name | TRISTAN KEON THOMAS |
| Credential | MD |
| Practice Address |
1700 Hospital South Dr Ste 202 Austell GA 30106 |
| Mailing Address |
1700 Hospital South Dr Ste 202 Austell GA 30106-8116 |
| Practice Telephone | 7709447818 |
| Mailing Telephone | 7709447818 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2019-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 83784 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | LL36019 | SC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1801 Sunset, Surgery Clinic, Columbia, SC 29203 | 8034344166 | 8034344183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881997815 | Tristan J Thomas | Military Health Care Provider | 116 Driftwood Cir, Groton, CT 06340-3155 | 2010-12-14 |
| 1093377350 | Tristan Thomas | Pharmacist | 1980 Crompond Rd, Cortlandt Manor, NY 10567-4144 | 2019-07-07 |
| Street Address |
1700 HOSPITAL SOUTH DR STE 202 |
| City | AUSTELL |
| State | GA |
| Zip Code | 30106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598815698 | Barry Mitchell Renz | Surgery | 1700 Hospital South Dr Ste 202, Austell, GA 30106 | 2007-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126231 | Courtney Lashune Dorsett | Nurse Practitioner | 1005 Cureton Drive, Austell, Austell, GA 30106 | 2020-08-27 |
| 1184240491 | Brian H Eves | Dietitian, Registered | 3972 Brantley Drive, Austell, GA 30106 | 2020-06-23 |
| 1669014486 | Jesse Mccoy | Registered Nurse | 3950 Austell Rd., Austell, GA 30106 | 2019-10-14 |
| 1427522820 | Envision Optics LLC | Optometrist | 1680 E West Connector, Austell, GA 30106 | 2019-01-18 |
| 1972042380 | Thomas Dental Group | Clinic/Center | 1133 East West Connector, Suite 120, Austell, GA 30106 | 2017-02-17 |
| 1245779792 | Colton Dental Group | Clinic/Center | 2495 East-west Connector, Ste 60, Austell, GA 30106 | 2017-02-16 |
| 1144691684 | Georgia Dental Professionals, PC | Dentist | 780 East West Connector Sw, Suite 108, Austell, GA 30106 | 2015-10-09 |
| 1285013714 | Ikeade Bello Alamu | Nurse Practitioner | 2870 Betula Drive, Austell, GA 30106 | 2015-05-29 |
| 1376922211 | Jessica Williams | Obstetrics & Gynecology | 1700 Hospital South Dr Ste 500, Austell, GA 30106 | 2015-05-26 |
| 1558799593 | Tonya Renee Baldwin | Speech-Language Pathologist | 4229 Brass Trl., Austell, GA 30106 | 2013-10-30 |
| Find all providers in zip 30106 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598815698 | Barry Mitchell Renz | Surgery | 1700 Hospital South Dr Ste 202, Austell, GA 30106 | 2007-01-11 |
| 1881754265 | Wellstar Atlanta General Surgery, LLC | Surgery | 1790 Mulkey Road, Suite 9a, Austell, GA 30106 | 2006-12-08 |
| 1720421969 | Wellstar Medical Group, LLC | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2013-04-08 |
| 1225321235 | Wellstar Medical Group, LLC | Surgery | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2011-05-24 |
| 1316230329 | Wellstar Medical Group, LLC | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2011-05-24 |
| 1245347194 | Mark S Wyatt | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2006-08-24 |
| 1396756284 | Paulomi Sahir Shroff | Surgery | 1790 Mulkey Rd, Suite 9-c, Austell, GA 30106-1122 | 2006-08-10 |
| 1841207917 | Eric M Knauer | Surgery | 1700 Hospital South Dr, Suite 202, Austell, GA 30106-6810 | 2006-08-02 |
| 1285689844 | Wellstar Cobb Surgical Associates, LLC | Surgery | 1810 Mulkey Rd, Suite 105, Austell, GA 30106-1151 | 2006-05-23 |
| 1821065525 | Claus Brandigi | Surgery | 3950 Austell Rd, Austell, GA 30106-1121 | 2006-03-02 |
| Find all providers in AUSTELL | ||||
Please comment or provide details below to improve the information on TRISTAN KEON 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.