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SUSHMITA THOMAS NP
NPI 1124399126
Nurse Practitioner - Adult Health in Atlanta, GA

Active since January 23, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1525 CLIFTON RD NE, ATLANTA, GA 30322(404) 778-4451 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sushmita Thomas Np NPPES

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

SUSHMITA THOMAS NP (NPI 1124399126) is an individual adult health provider in Atlanta, Georgia, licensed in Georgia (RN208915) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2009).

NPPES Registry Identity

NPI1124399126
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSHMITA THOMASCredential: NP
Location Address1525 CLIFTON RD NEAtlanta, GA 30322-4200
Mailing Address409 Lytton CtStockbridge, GA 30281-7959 · (205) 567-2564
Phone(404) 778-4451
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2009
Enumeration DateJanuary 23, 2012
✔ NPI 1124399126 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
License✔ Licensed in GA · RN208915
1525 CLIFTON RD NE, Atlanta, GA 30322
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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

Sushmita Thomas Np 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 ID3779743174
PECOS Enrollment IDI20120321000931
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.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
561 services97 patients
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.
393 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
161 services63 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
80 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

KAJAL PATEL M.D, M.P.H
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
DR. SHABNAM SHAH M.D.
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
HOWA YEUNG M.D.
Dermatology
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3333
MS. EILEEN MACCALLUM ANP-BC
Nurse Practitioner (Adult Health)
1525 CLIFTON RD NE, SUITE 207
ATLANTA, GA 30322
Dekalb County (404) 778-4451
DR. JULIE JUNGAH KIM
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
ALISON K LEE MD
Dermatology (MOHS-Micrographic Surgery)
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-3333
SIDNEY MONTEZ BARR MD
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-2700
DR. WILLIAM THOMAS BRANCH JR. M.D.
Internal Medicine
1525 CLIFTON RD NE
ATLANTA, GA 30322
Dekalb County (404) 778-5472

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 Sushmita Thomas's NPI number?

The NPI number for Sushmita Thomas is 1124399126. It was assigned to this individual provider in the NPPES registry on January 23, 2012.

Where is Sushmita Thomas located?

Sushmita Thomas practices at 1525 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 778-4451.

What is Sushmita Thomas's specialty?

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

Is Sushmita Thomas enrolled in Medicare?

Yes. Sushmita 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.

When was this NPI record last updated?

The NPPES record for Sushmita Thomas was last updated on January 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.