THACKER & THOMPSON


Address: 619 Rankin St Ne, Atlanta, GA 30308-2920
Phone: 4048743102

THACKER & THOMPSON (NPI# 1366595118) 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) 1366595118
Entity Type Organization
Organization Name THACKER & THOMPSON
Other Organization Name THACKER, THOMPSON & BERNARD
Practice Address 619 Rankin St Ne
Atlanta
GA 30308-2920
Practice Telephone 4048743102
Practice Fax Number 4048744817
Mailing Telephone 4048743102
Mailing Fax Number 4048744817
Enumeration Date 2007-01-18
Last Update Date 2012-01-26
Authorized Official Name SHERYL VERNON THACKER (MANAGER)
Authorized Official Telephone 4048743102
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
GA024356 GA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Thacker, Thompson & Bernard Doing Business As Name - Organization

Office Location

Street Address 619 RANKIN ST NE
City ATLANTA
State GA
Zip Code 30308-2920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174143770 Affiliated Foot and Ankle, P.C. Podiatrist 619 Rankin St Ne, Atlanta, GA 30308-2920 2020-04-23
1184993578 Intown Infectious Diseases, LLC Internal Medicine 619 Rankin St Ne, Atlanta, GA 30308-2920 2011-12-14
1831232024 Annette Mary Bernard Internal Medicine 619 Rankin St Ne, Atlanta, GA 30308-2920 2007-02-15
1053454389 Sheryl Vernon Thacker Internal Medicine 619 Rankin St Ne, Atlanta, GA 30308-2920 2007-02-15
1235272428 Melanie A Thompson Internal Medicine 619 Rankin St Ne, Atlanta, GA 30308-2920 2007-02-15

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City ATLANTA
Zip Code 30308

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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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