MARITESS GONZALES THOMAS (FNP-C) – Nurse Practitioner, NPI 1013461425
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,658 NURSE PRACTITIONER in GA
Provider Addresses for MARITESS GONZALES THOMAS (FNP-C)
1058 Bear Creek Blvd
Hampton, GA 302281849
Phone: (770) 707-0808
Fax: (770) 707-1580
Type: Location
3800 PRINCETON LAKES PKWY SW
ATLANTA, GA 303315580
Phone: (404) 948-3019
Type: Location
1058, Bear Creek Boulevard, Woodlawn, West Hampton, Hampton, Henry County, Georgia, 30228, United States
HAMPTON, GA 302281849
Phone: (770) 707-0808
Fax: (770) 707-1580
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $218.
Total Amount is formed as General ($218) + Research ($0) + Ownership ($0) = $218.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Exact Sciences Corporation ($51).
Total Amount
$218
General + Research + Ownership
Payments
10
Total payment records
General Amount
$218
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170411002379 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 42 | 38 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 33 | 33 | $0 |
Insurance plans in this area (ZIP 30228)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | GA | |
| Family Practice, General Practice | GA | |
| Physician Assistant | SC | |
| - | GA | |
| General Practice, Family Practice | SC | |
| Nurse Practitioner | GA |
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