MRS. PAULA SUE THIBAULT APRN NP-C
NPI 1194082461
Nurse Practitioner - Family in Canton, GA
About Mrs. Paula Sue Thibault Aprn Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PAULA SUE THIBAULT APRN NP-C (NPI 1194082461) is an individual family provider in Canton, Georgia, licensed in Georgia (RN174649) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Paula Sue Thibault Aprn Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30114 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CANTON, GA 30114
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 Paula Thibault's NPI number?
The NPI number for Paula Thibault is 1194082461. It was assigned to this individual provider in the NPPES registry on April 11, 2012. The provider is also known as Mrs. Paula Sue Thibault.
Where is Paula Thibault located?
Paula Thibault practices at 3785 Sixes Rd, Canton, GA 30114. The listed phone number is (770) 720-3466.
What is Paula Thibault's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Paula Thibault enrolled in Medicare?
Yes. Paula Thibault is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Paula Thibault was last updated on September 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mrs. Paula Sue Thibault, APRN NP-C · NPI 1194082461
Family physician in Canton, Georgia. Individual provider, active in the CMS NPPES registry since April 11, 2012.
## Identity
- **NPI:** 1194082461 (Entity type: Individual)
- **Enumerated:** April 11, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN174649 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3785 SIXES RD, Canton, GA 30114-7809
- **Phone:** (770) 720-3466
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** September 12, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1194082461) · Data from the CMS NPPES public registry.