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ANNETTE THOMAS
NPI 1255746723
Social Worker - Clinical in Elm City, NC

Active since June 24, 2014PECOS Enrolled
4830 LAKE WILSON RD, ELM CITY, NC 27822(252) 315-4421 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 7, 2026, Sep 21, 2022, Feb 10, 2019 (3 updates tracked since 2019).

About Annette Thomas NPPES

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

ANNETTE THOMAS (NPI 1255746723) is an individual clinical provider in Elm City, North Carolina, licensed in North Carolina (P008947) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255746723
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANNETTE THOMAS
Location Address4830 LAKE WILSON RDElm City, NC 27822-8316
Mailing Address4830 Lake Wilson RdElm City, NC 27822-8316 · (252) 315-4421
Phone(252) 315-4421
Sole ProprietorYes
Enumeration DateJune 24, 2014
Last NPPES UpdateApril 7, 20263 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1255746723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · P008947✔ Licensed in VA · 0904013994✔ Licensed in SC · 17334✔ Licensed in MD · 31952
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial Worker · SchoolTaxonomy 1041S0200X · License P008947 (NC)
4830 LAKE WILSON RD, Elm City, NC 27822
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Annette Thomas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Annette Thomas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Specialty Group PA
57 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, North Carolina enrollment
  • 104 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Sondermind Provider Network LLC
1,502 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Virginia enrollment
  • 241 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Sondermind PC
2,422 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, North Carolina enrollment
  • 108 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27822 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Annette Thomas's NPI number?

The NPI number for Annette Thomas is 1255746723. It was assigned to this individual provider in the NPPES registry on June 24, 2014.

Where is Annette Thomas located?

Annette Thomas practices at 4830 Lake Wilson Rd, Elm City, NC 27822. The listed phone number is (252) 315-4421.

What is Annette Thomas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Annette Thomas enrolled in Medicare?

Yes. Annette Thomas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Annette Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Annette Thomas reassigns Medicare benefits to 3 organizations: Mental Health Specialty Group PA (Durham, NC), Sondermind Provider Network LLC (Denver, CO) and Sondermind PC (San Jose, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Annette Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Annette Thomas accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Health, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Annette 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 Annette Thomas was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.