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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THATCHER GREY MUMFORD PA
NPI 1306656442
Physician Assistant in Fort Stewart, GA

Active since January 10, 2025PECOS Enrolled
1061 HARMON AVE, FORT STEWART, GA 31314(571) 802-0371 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 21, 2026, Jan 10, 2025 (2 updates tracked since 2025).

About Thatcher Grey Mumford Pa NPPES

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

THATCHER GREY MUMFORD PA (NPI 1306656442) is an individual physician assistant in Fort Stewart, Georgia, licensed in Georgia (14136) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306656442
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHATCHER GREY MUMFORDCredential: PA
Location Address1061 HARMON AVEFort Stewart, GA 31314-5641
Mailing Address296 Gill RdRichmond Hill, GA 31324-3134
Phone(571) 802-0371
Sole ProprietorNo
Enumeration DateJanuary 10, 2025
Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2026
✔ NPI 1306656442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 14136
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1061 HARMON AVE, Fort Stewart, GA 31314
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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 (PECOS)

Thatcher Grey Mumford Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31314 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

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.

CHERYL ROBINSON RN
Registered Nurse (Continuing Education/Staff Development)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-5006
WILLIAM ENGLISH R.N.
Registered Nurse (Case Management)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6628
MS. ALEXANDRA DEANN CHAMBLESS LPN
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-5774
EDWIN MARTINEZ
Dental Assistant
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 767-6174
JALAIGH HUNT LPN
Licensed Practical Nurse
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6964
THOMAS BROOKS WADE
Student in an Organized Health Care Education/Training Program
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (571) 802-0394
LARIANN S ROSS APRN-BC
Nurse Practitioner (Family)
1061 HARMON AVE, DMC/IMC
FORT STEWART, GA 31314
Liberty County (912) 435-5706
MISS HEIDI NICOLE HILL LISW-S
Social Worker (Clinical)
1061 HARMON AVE
FORT STEWART, GA 31314
Liberty County (912) 435-6633

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 Thatcher Mumford's NPI number?

The NPI number for Thatcher Mumford is 1306656442. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Where is Thatcher Mumford located?

Thatcher Mumford practices at 1061 Harmon Ave, Fort Stewart, GA 31314. The listed phone number is (571) 802-0371.

What is Thatcher Mumford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Thatcher Mumford enrolled in Medicare?

Yes. Thatcher Mumford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thatcher Mumford was last updated on September 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.