THOMAS JAYCE HARDY – Dermatology Physician, NPI 1124910583

THOMAS JAYCE HARDY is a healthcare provider. based in Savannah, Georgia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 13206 (GA). The NPI Number for THOMAS JAYCE HARDY is 1124910583

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
THOMAS JAYCE HARDY
NPI
1124910583
Phone
Not provided
Address
900 MOHAWK ST STE E
Enumeration Date
18 July 2025
Last Update Date
18 July 2025

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2025 (1 year ago)
PAC ID
1254830292
Group Practice PAC ID
0042206807
Professional Enrollment ID
I20250818001661
Address ID
GA314191768Sa900XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for THOMAS JAYCE HARDY

  • 900 MOHAWK ST STE E

    SAVANNAH, GA 314191768

    Phone:

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250818001661IPhysician AssistantGATBD

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.

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

Insurance plans in this area (ZIP 31419)

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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: 0042206807View full group profile
NameSpecialtyState
Physician AssistantGA
D E R M A T O L O G YGA
Physician AssistantSC
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YSC
Nurse PractitionerOH
Nurse PractitionerGA
Physician AssistantSC
Cardiac Surgery, Peripheral Vascular Disease, Thoracic Surgery, Vascular Surgery, Thoracic Surgery, Vascular Surgery, Cardiovascular Disease (Cardiology)GA

Reviews

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Frequently asked questions

What is the 10-digit NPI for THOMAS JAYCE HARDY?
THOMAS JAYCE HARDY — NPI 1124910583 — is the standard way to identify this listing.
Does CMS list THOMAS JAYCE HARDY as active?
Yes — THOMAS JAYCE HARDY is active in the NPI listing used on this page.
What is THOMAS JAYCE HARDY's specialty?
The listing groups THOMAS JAYCE HARDY with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does THOMAS JAYCE HARDY list a practice location?
Patients near Savannah, Georgia may find THOMAS JAYCE HARDY in results; validate coverage separately.
Why does THOMAS JAYCE HARDY have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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