KELDRECA SHUNTAE THOMAS FNP
NPI 1447797600
Nurse Practitioner - Psychiatric/Mental Health in Snellville, GA

Active since January 26, 2017PECOS Enrolled
1700 MEDICAL WAY, SNELLVILLE, GA 30078(478) 464-8134 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2023, Jan 5, 2022, Dec 1, 2021 and 4 more (7 updates tracked since 2017).

About Keldreca Shuntae Thomas Fnp NPPES

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

KELDRECA SHUNTAE THOMAS FNP (NPI 1447797600) is an individual psychiatric/mental health provider in Snellville, Georgia, licensed in Georgia (RN230389) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447797600
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELDRECA SHUNTAE THOMASCredential: FNP
Location Address1700 MEDICAL WAYSnellville, GA 30078-2195
Mailing Address901 W Alameda St Ste 25Santa Fe, NM 87501-1673 · (505) 988-8869
Sole ProprietorNo
Enumeration DateJanuary 26, 2017
Last NPPES UpdateJanuary 17, 20247 updates tracked since enumeration
NPPES CertifiedJanuary 17, 2024
✔ NPI 1447797600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in GA · RN230389✔ Licensed in NM · 55952
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License RN230389 (GA)
1700 MEDICAL WAY, Snellville, GA 30078

Secondary Practice Locations 2

Location 1868 York Ave SWAtlanta, GA 30310 · Phone (404) 752-1400
Location 22429 Martin Luther King Jr Dr SWAtlanta, GA 30311 · Phone (866) 389-2727

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keldreca Shuntae Thomas Fnp 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

6

Medicare enrollment records show Keldreca Thomas reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
315 BOULEVARD NE STE 224
Atlanta, GA 30312
  • Reassigned Medicare billing, Georgia enrollment
  • 33 clinicians in this Medicare group
Internal Medicine
35 COLLIER RD NW STE 635
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 410 clinicians in this Medicare group
Family Medicine
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 792 clinicians in this Medicare group
Internal Medicine
101 YORKTOWN DR
Fayetteville, GA 30214
  • Reassigned Medicare billing, Georgia enrollment
  • 759 clinicians in this Medicare group
Family Medicine
1800 10TH AVE
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 391 clinicians in this Medicare group
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Georgia enrollment
  • 350 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
34 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
32 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30078 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 20

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

Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Anesthesiologist Assistant
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Anesthesiologist Assistant
1700 MEDICAL WAY, ANESTHESIA DEPT
SNELLVILLE, GA 30078
Physician Assistant (Medical)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Anesthesiologist Assistant
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Emergency Medicine
1700 MEDICAL WAY
SNELLVILLE, GA 30078

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 Keldreca Thomas's NPI number?

The NPI number for Keldreca Thomas is 1447797600. It was assigned to this individual provider in the NPPES registry on January 26, 2017.

Where is Keldreca Thomas located?

Keldreca Thomas practices at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (478) 464-8134.

What is Keldreca Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Keldreca Thomas enrolled in Medicare?

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

Which organizations bill Medicare for Keldreca Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keldreca Thomas reassigns Medicare benefits to 6 organizations: The Family Health Centers Of Georgia, Inc (Atlanta, GA), Piedmont Athens Hospitalist Physicians LLC (Atlanta, GA), Piedmont Hospitalist Physicians LLC (Stockbridge, GA), Privia Medical Group Of Georgia LLC (Fayetteville, GA), Columbus Ambulatory Healthcare Services, Inc. (Columbus, GA) and 1 more organization, listed in the Medicare section above. 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 Keldreca Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keldreca Thomas accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 6 other insurers list Keldreca 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 Keldreca Thomas was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.