TANYA A THOMAS (NP) – Family Nurse Practitioner, NPI 1770964934

TANYA A THOMAS (NP) is a healthcare provider. based in Fayetteville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN177598 (GA). The NPI Number for TANYA A THOMAS (NP) is 1770964934

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
TANYA A THOMAS (NP)
NPI
1770964934
Phone
(678) 472-4386
Address
78 SOUTHERN GOLF CT
Enumeration Date
13 June 2015
Last Update Date
6 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2014 (12 years ago)
PAC ID
4183938699
Group Practice PAC ID
1153508551
Professional Enrollment ID
I20190722001359
Address ID
TX775154112AN132XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for TANYA A THOMAS (NP)

  • 78 SOUTHERN GOLF CT

    FAYETTEVILLE, GA 302158008

    Phone: (678) 472-4386

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2023-04-07 • Largest payer in this snapshot: Mirati Therapeutics, Inc. ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Mirati Therapeutics, Inc.$117
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: 2019-07-22

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
I20190722001359INurse PractitionerTXTBD

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 30215)

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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: 1153508551View full group profile
NameSpecialtyState
-TX
Internal Medicine, Hospitalist, Internal MedicineVA
Nurse PractitionerTX
Internal Medicine, HospitalistCT
Nurse PractitionerTX
Emergency Medicine, Internal MedicineTX
Internal MedicineTX
-TX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for TANYA A THOMAS (NP) in U.S. healthcare records?
The official identifier for TANYA A THOMAS (NP) is NPI 1770964934.
Would TANYA A THOMAS (NP) appear as active to a payer?
You can treat TANYA A THOMAS (NP) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to TANYA A THOMAS (NP)?
TANYA A THOMAS (NP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TANYA A THOMAS (NP)?
Travel planning: use Fayetteville, Georgia as the reference point for TANYA A THOMAS (NP), then confirm.
When was this NPI issued?
Enumeration for TANYA A THOMAS (NP) is noted as June 13, 2015 where the registry provides it.

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