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ASHLEY DANIELLE THOMAS NP
NPI 1265033625
Nurse Practitioner - Family in Cumming, GA

Active since November 03, 2020PECOS EnrolledAccepts Medicare Assignment
1400 NORTHSIDE FORSYTH DR STE 310, CUMMING, GA 30041(678) 845-7300 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2024, Aug 22, 2022, Jan 13, 2021 and 1 more (4 updates tracked since 2020).

About Ashley Danielle Thomas Np NPPES

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

ASHLEY DANIELLE THOMAS NP (NPI 1265033625) is an individual family provider in Cumming, Georgia, licensed in Georgia (RN259961) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and maintains a secondary practice location in Raleigh.

NPPES Registry Identity

NPI1265033625
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY DANIELLE THOMASCredential: NP
Location Address1400 NORTHSIDE FORSYTH DR STE 310Cumming, GA 30041-6017
Mailing Address60 Perimeter Center Pl Ne Apt 547Dunwoody, GA 30346-4215
Phone(678) 845-7300
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 3, 2020
Last NPPES UpdateOctober 2, 20244 updates tracked since enumeration
NPPES CertifiedOctober 2, 2024
✔ NPI 1265033625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in GA · RN259961✔ Licensed in NC · 5016322
1400 NORTHSIDE FORSYTH DR STE 310, Cumming, GA 30041
Open in Google Maps ↗

Secondary Practice Location 1

Location 14420 Lake Boone TrlRaleigh, NC 27607-7505 · Phone (919) 784-2576

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

Ashley Danielle 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 ID7911316088
PECOS Enrollment IDI20221019002362
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 3

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.

Daily hospital management of continuous spinal drug administration 01996
Continuous spinal drug administration is a hospital procedure where medication is delivered directly into the spinal fluid through a small tube. It helps manage pain or other conditions. Daily hospital management involves monitoring for effectiveness and any potential side effects.
95 services60 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
87 services57 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30041 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.

Other Providers at the Same Location NPPES 2

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

JESSICA WYSOCK AGACNP
Nurse Practitioner (Acute Care)
1400 NORTHSIDE FORSYTH DR STE 310
CUMMING, GA 30041
Forsyth County (678) 845-7300
CARLY LANDRY PA-C
Physician Assistant
1400 NORTHSIDE FORSYTH DR STE 310
CUMMING, GA 30041
Forsyth County (678) 845-7300

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 Ashley Thomas's NPI number?

The NPI number for Ashley Thomas is 1265033625. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Ashley Thomas located?

Ashley Thomas practices at 1400 Northside Forsyth Dr Ste 310, Cumming, GA 30041. The listed phone number is (678) 845-7300.

What is Ashley Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ashley Thomas enrolled in Medicare?

Yes. Ashley 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 Ashley Thomas accept?

Health plans from Blue Cross and Blue Shield of NC list Ashley 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.

Is Ashley Thomas affiliated with any hospitals?

According to CMS data, Ashley Thomas is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Thomas was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.