TONYA THOMAS
NPI 1003237702
Nurse Practitioner - Adult Health in Raleigh, NC

Active since December 23, 2013PECOS EnrolledAccepts Medicare Assignment
4600 CAPITAL BLVD, RALEIGH, NC 27604(919) 980-7008 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2022, Dec 20, 2017 (2 updates tracked since 2017).

About Tonya Thomas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONYA THOMAS (NPI 1003237702) is an individual adult health provider in Raleigh, North Carolina, licensed in North Carolina (5015852) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlantic City, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003237702
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTONYA THOMAS
Location Address4600 CAPITAL BLVDRaleigh, NC 27604-4478
Mailing AddressPo Box 746724Atlanta, GA 30374-6724 · (312) 733-9730
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 23, 2013
Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
NPI 1003237702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in NC · 5015852 Licensed in NJ · 26NJ00465300 Licensed in PA · SP013014
4600 CAPITAL BLVD, Raleigh, NC 27604

Secondary Practice Location 1

Location 11616 Pacific AveAtlantic City, NJ 08401-6939 · Phone (609) 350-7820 · Fax (609) 350-7822

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Tonya Thomas is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608190640
PECOS Enrollment IDI20221201002643
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
90 services60 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
34 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
32 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4600 CAPITAL BLVD
RALEIGH, NC 27604
Nurse Practitioner (Family)
4600 CAPITAL BLVD
RALEIGH, NC 27604
Nurse Practitioner (Family)
4600 CAPITAL BLVD
RALEIGH, NC 27604
Family Medicine
4600 CAPITAL BLVD
RALEIGH, NC 27604
Nurse Practitioner (Adult Health)
4600 CAPITAL BLVD
RALEIGH, NC 27604
Nurse Practitioner (Adult Health)
4600 CAPITAL BLVD
RALEIGH, NC 27604
Family Medicine
4600 CAPITAL BLVD
RALEIGH, NC 27604
Internal Medicine
4600 CAPITAL BLVD
RALEIGH, NC 27604

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonya Thomas's NPI number?

The NPI number for Tonya Thomas is 1003237702. It was assigned to this individual provider in the NPPES registry on December 23, 2013.

Where is Tonya Thomas located?

Tonya Thomas practices at 4600 Capital Blvd, Raleigh, NC 27604. The listed phone number is (919) 980-7008.

What is Tonya Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tonya Thomas enrolled in Medicare?

Yes. Tonya Thomas is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tonya Thomas accept?

Health plans from AmeriHealth Caritas Next list Tonya Thomas as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tonya Thomas was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.