THOMAS L SHOUP (PAC) – Physician Assistant, NPI 1053420620

Physician Assistant

THOMAS L SHOUP (PAC) is a healthcare provider. based in Tifton, Georgia. specializing in Physician Assistant. They hold the professional credentials PAC. They hold a License No. 1319 (GA). The NPI Number for THOMAS L SHOUP (PAC) is 1053420620

Main info

Male

44 Years Of Experience

Accepts Medicare Assignment

Name

THOMAS L SHOUP (PAC)

NPI

1053420620

Phone

(229) 353-6051

Address

901 18TH ST E

Enumeration Date

29 August 2006

Last Update Date

1 December 2020

Doctor Profile

Medical School Name

OTHER

Secondary Phone

2298968159

Graduation Year

1982 (44 years ago)

PAC ID

0345326864

Group Practice PAC ID

2062745169

Professional Enrollment ID

I20080325000262

Contacts

Secure Messaging

thomas.shoup@trhs.cernerdirect.com

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience62

Completeness85

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

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Provider Addresses for THOMAS L SHOUP (PAC)

901, 18th Street East, Tifton, Tift County, Georgia, 31794, United States
TIFTON, GA 317943648
Phone: (229) 353-6051
Type: Location
Tift Regional Health System Physicians Center, 907, 18th Street East, Tifton, Tift County, Georgia, 31794, United States
SUITE 150
TIFTON, GA 317943643
Phone: (229) 353-6051
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31794)

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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: 2062745169View full group profile

Name	Specialty	State
CALLIE HAYNES (FNP-BC)	Nurse Practitioner	GA
HANNAH JANLEIGH VICKERS (FNP-C)	Nurse Practitioner	GA
ROLAND NASH (MD)	-	GA
DONNA B GALLIANO (NP-C)	Nurse Practitioner	GA
MRS. PATRICIA M PARRISH (NP)	-	GA
MRS. JUDY E WEAVER (APRNBC)	Nurse Practitioner	GA
DR. DAVID I SCHAFFER (MD)	Family Practice, Emergency Medicine	GA
SRIDHAR RAJAMANI (M.D.)	Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease	MD
ANGELA LYNN VANNORTWICK (N.P.)	-	GA
TIRSO A CASTILLO (MD)	-	GA

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Frequently asked questions

What identifier follows THOMAS L SHOUP (PAC) across health systems?

The NPI 1053420620 uniquely identifies THOMAS L SHOUP (PAC) in U.S. healthcare data.

Does the public listing show THOMAS L SHOUP (PAC) as active?

THOMAS L SHOUP (PAC)'s NPI record reflects an active status in NPPES.

What does the directory say THOMAS L SHOUP (PAC) does?

Insurance directories may phrase it differently, but here THOMAS L SHOUP (PAC) maps to Physician Assistant. Clinical services aligned with this taxonomy classification.

Which community is linked to THOMAS L SHOUP (PAC)?

THOMAS L SHOUP (PAC) shows a connection to Tifton, Georgia in registry-derived data.

Who maintains THOMAS L SHOUP (PAC)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.