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LARRY THOMAS
NPI 1386168524
Nurse Practitioner in Anniston, AL

Active since July 31, 2017PECOS EnrolledAccepts Medicare Assignment
701 LEIGHTON AVE, ANNISTON, AL 36207(256) 231-1231(256) 231-1232 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 19, 2025, Jul 21, 2022, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Larry Thomas NPPES

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

LARRY THOMAS (NPI 1386168524) is an individual nurse practitioner in Anniston, Alabama, licensed in Alabama (F07171302) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hoover, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386168524
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameLARRY THOMAS
Location Address701 LEIGHTON AVEAnniston, AL 36207-5745
Mailing Address701 Leighton AveAnniston, AL 36207-5745 · (256) 231-1231 · Fax (256) 231-1232
Phone(256) 231-1231
Fax(256) 231-1232
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 31, 2017
Last NPPES UpdateMarch 19, 20255 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1386168524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · F07171302
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
701 LEIGHTON AVE, Anniston, AL 36207
Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 Doug Baker Blvd Ste 102Hoover, AL 35242-2017 · Phone (256) 231-1231

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larry Thomas 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 ID8729346291
PECOS Enrollment IDI20171212000473
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 Larry Thomas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Birmingham Internal Medicine Associates, LLC
51 mi
Internal Medicine
7191 CAHABA VALLEY RD, SUITE 300
Birmingham, AL 35242
  • Reassigned Medicare billing, Alabama enrollment
  • 166 clinicians in this Medicare group
NPI 1598796542 (205) 930-2060
Cahaba Pain And Spine Care, LLC
59 mi
Anesthesiology
2010 PATTON CHAPEL RD, SUITE 200
Hoover, AL 35216
  • Reassigned Medicare billing, Alabama enrollment
  • 18 clinicians in this Medicare group
NPI 1073960431 (205) 208-9001
Health Care Authority For Baptist Health, An Affiliate Of Uabhs
89 mi
Internal Medicine
301 BROWN SPRINGS RD
Montgomery, AL 36117
  • Reassigned Medicare billing, Alabama enrollment
  • 439 clinicians in this Medicare group
NPI 1033534524 (334) 273-4159

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 36207 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
39%31 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

PM HEALTHCARE LLC
Anesthesiology (Pain Medicine)
701 LEIGHTON AVE
ANNISTON, AL 36207
Calhoun County (256) 231-1231
HOPE M CRAFT NP-C
Nurse Practitioner (Family)
701 LEIGHTON AVE
ANNISTON, AL 36207
Calhoun County (423) 240-4618
DR. JOSHUA S. MEYER M.D.
Pain Medicine (Interventional Pain Medicine)
701 LEIGHTON AVE
ANNISTON, AL 36207
Calhoun County (256) 231-1231
MICHELLE RENEE HORNSBY NP
Nurse Practitioner
701 LEIGHTON AVE
ANNISTON, AL 36207
Calhoun County (256) 231-1231
MELANEY RENE BANKS CRNP
Nurse Practitioner (Family)
701 LEIGHTON AVE
ANNISTON, AL 36207
Calhoun County (256) 231-1231
MRS. THELMA ROBIDART FNP-BC
Nurse Practitioner (Family)
701 LEIGHTON AVE
ANNISTON, AL 36207
Calhoun County (256) 231-1231

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 Larry Thomas's NPI number?

The NPI number for Larry Thomas is 1386168524. It was assigned to this individual provider in the NPPES registry on July 31, 2017.

Where is Larry Thomas located?

Larry Thomas practices at 701 Leighton Ave, Anniston, AL 36207. The listed phone number is (256) 231-1231.

What is Larry Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Larry Thomas enrolled in Medicare?

Yes. Larry 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.

Which organizations bill Medicare for Larry Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larry Thomas reassigns Medicare benefits to 3 organizations: Birmingham Internal Medicine Associates, LLC (Birmingham, AL), Cahaba Pain And Spine Care, LLC (Hoover, AL) and Health Care Authority For Baptist Health, An Affiliate Of Uabhs (Montgomery, AL). 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 Larry Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larry Thomas accept?

Health plans from Blue Cross and Blue Shield of Alabama list Larry 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 Larry Thomas was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.