TESSIE THOMAS (DO) – Family Medicine Physician, NPI 1053417949

TESSIE THOMAS (DO) is a healthcare provider. based in Powder springs, Georgia. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 55574 (GA). The NPI Number for TESSIE THOMAS (DO) is 1053417949

Main info

Female
Sole Proprietor
29 Years Of Experience
Accepts Medicare Assignment
Name
TESSIE THOMAS (DO)
NPI
1053417949
Phone
(678) 567-8000
Address
4250 Brownsville Rd
Enumeration Date
16 September 2006
Last Update Date
26 September 2019

Doctor Profile

Medical School Name
ROWAN UNIVERSITY SCHOOL OF OSTEOPATHIC MEDICINE
Secondary Phone
7709433139
Graduation Year
1997 (29 years ago)
PAC ID
2365490463
Group Practice PAC ID
6002802220
Professional Enrollment ID
I20050105000685
Address ID
GA301066818AU3825XDRXX401

Contacts

Secure Messaging
tthomas140298@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,117 FAMILY PRACTICE in GA

Provider Addresses for TESSIE THOMAS (DO)

  • 4250 Brownsville Rd

    Powder Springs, GA 301272559

    Phone: (678) 567-8000

    Fax: (770) 439-3555

    Type: Location

  • The Concorde, 2870, Pharr Court S Northwest, Buckhead, Atlanta, Georgia, 30363, United States

    UNIT 1707

    ATLANTA, GA 303052174

    Phone: (215) 806-6500

    Type: Mailing

  • 30, Warren Street Southeast, South Kirkwood, Atlanta, DeKalb County, Georgia, 30317, United States

    ATLANTA, GA 303172267

    Phone: (404) 616-9304

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-01-05

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050105000685IFamily PracticeGATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4037$0
36415Insertion of needle into vein for collection of blood sample1514$0
99214Established patient office or other outpatient visit, 30-39 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 30127)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002802220View full group profile

Reviews

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Frequently asked questions

Can I cross-check TESSIE THOMAS (DO) using NPI 1053417949?
NPI 1053417949 belongs to TESSIE THOMAS (DO); compare other details if you need extra assurance.
Would TESSIE THOMAS (DO) appear as active to a payer?
You can treat TESSIE THOMAS (DO) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with TESSIE THOMAS (DO)?
TESSIE THOMAS (DO)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is TESSIE THOMAS (DO) located near Powder Springs?
TESSIE THOMAS (DO) currently maps to Powder Springs, Georgia in this extract.
When was this NPI issued?
Enumeration for TESSIE THOMAS (DO) is noted as September 16, 2006 where the registry provides it.

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