1. Home
  2. Directory
  3. Georgia
  4. Watkinsville
  5. Nurse Practitioner
  6. NPI Profile

MITSPA THOMAS
NPI 1477225340
Nurse Practitioner - Family in Watkinsville, GA

Active since September 29, 2021PECOS EnrolledAccepts Medicare Assignment
94.86/100
CMS Quality Rating
1460 RESURGENCE DR, WATKINSVILLE, GA 30677(706) 515-2410(706) 353-2992 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, Jul 1, 2024, Sep 29, 2021 (3 updates tracked since 2021).

About Mitspa Thomas NPPES

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

MITSPA THOMAS (NPI 1477225340) is an individual family provider in Watkinsville, Georgia, licensed in Georgia (RN311227) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477225340
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMITSPA THOMAS
Location Address1460 RESURGENCE DRWatkinsville, GA 30677-7320
Mailing Address3320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · (706) 353-2290 · Fax (706) 353-2992
Phone(706) 515-2410
Fax(706) 353-2992
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 29, 2021
Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1477225340 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
License✔ Licensed in GA · RN311227
1460 RESURGENCE DR, Watkinsville, GA 30677
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13320 Old Jefferson Rd Bldg 800Athens, GA 30607-1400 · Phone (706) 353-2290 · Fax (706) 353-2992
Location 2658 N Chase St Ste 201Athens, GA 30601-1960 · Phone (762) 356-4785 · Fax (762) 728-6190

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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

Mitspa 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 ID8921476433
PECOS Enrollment IDI20221115000024
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 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services73 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
69 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30677 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
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

94.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability92
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

DR. G STEVEN CHESSER JR. M. D.
Internal Medicine
1460 RESURGENCE DR
WATKINSVILLE, GA 30677
Oconee County (706) 353-2990
SIHWA LEE
Nurse Practitioner
1460 RESURGENCE DR
WATKINSVILLE, GA 30677
Oconee County (762) 356-4785
JANA WILSON BAILEY MSN, NP-C
Nurse Practitioner (Family)
1460 RESURGENCE DR
WATKINSVILLE, GA 30677
Oconee County (706) 715-2410

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 Mitspa Thomas's NPI number?

The NPI number for Mitspa Thomas is 1477225340. It was assigned to this individual provider in the NPPES registry on September 29, 2021.

Where is Mitspa Thomas located?

Mitspa Thomas practices at 1460 Resurgence Dr, Watkinsville, GA 30677. The listed phone number is (706) 515-2410.

What is Mitspa Thomas's specialty?

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

Is Mitspa Thomas enrolled in Medicare?

Yes. Mitspa 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 Mitspa Thomas accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mitspa 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 Mitspa Thomas affiliated with any hospitals?

According to CMS data, Mitspa Thomas is affiliated with St Mary's Hospital and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Mitspa Thomas was last updated on July 19, 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.