MR. JERRY VINCENT THOMAS


Address: 4001 Presidential Pkwy, 700, Atlanta, GA 30340-3719
Phone: 4045878707

MR. JERRY VINCENT THOMAS (NPI# 1730232521) 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) 1730232521
Entity Type Individual
Full Name MR. JERRY VINCENT THOMAS
Credential LPC
Practice Address 4001 Presidential Pkwy
700
Atlanta
GA 30340-3719
Mailing Address 3047 Hudson Ct
Decatur
GA 30033-1115
Practice Telephone 4045878707
Practice Fax Number 4046334403
Mailing Telephone 4045878707
Mailing Fax Number 4046334403
Enumeration Date 2007-01-18
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
4299 GA Behavioral Health & Social Service Providers

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Office Location

Street Address 4001 PRESIDENTIAL PKWY
700
City ATLANTA
State GA
Zip Code 30340-3719

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003300757 Moensania Carisa Phillips Nurse Practitioner 4004 Evans Road, Atlanta, GA 30340 2018-06-17
1326545534 Teri Lynn Hill Case Manager/Care Coordinator 2300 Global Forum Blvd Apt 511, Atlanta, GA 30340 2018-04-12
1174043541 Woohyeon Cho Acupuncturist 5441 Buford Hwy Ne Ste 202, Doraville, GA 30340 2017-06-26
1326599614 Tara Vanvranken Chiropractor 3166 Chestnut Dr Ste 100&200, Atlanta, GA 30340 2016-10-20
1073900056 Presly Ouy Pharmacist 3975 English Oak Dr, Atlanta, GA 30340 2015-04-17
1336389063 Jose R Muniz Licensed Practical Nurse 3061 Oakcliff Rd, 149, Doraville, GA 30340 2009-02-20
1316109200 John David Hamilton Radiology 4000 Dekalb Technology Pkwy Suite 200, Kaiser Permanente Dekalb Technology Center, Atlanta, GA 30340 2008-07-01
1104003979 Mariya A. Fishman Radiology 4000 Dekalb Technology Parkway, Ste. 400 Kaiser Permanente-dekalb Technology Center, Atlanta, GA 30340 2008-01-23
1346441029 Lana Marie Chase Clinical Nurse Specialist 3490 Bowling Green Way, Atlanta, GA 30340 2007-05-30
1225242399 Expert Pain Clinic LLC Chiropractor 3042 Oakciff Rd, Site210, Doraville, GA 30340 2007-05-09
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1447862172 Dr. Burwell Speaks, LLC Counselor 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 2020-08-24
1386254761 Jocelyn Patterson Mosley Counselor 2030 Gramercy Cir, Atlanta, GA 30341-1779 2020-07-31
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1891303426 Cheryl E Williams Counselor 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 2020-07-20
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1881210201 Destiny Winters Counselor 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 2020-06-22
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Competitor

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City ATLANTA
Zip Code 30340

Improve Information

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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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