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ELIZABETH N THAI PA-C
NPI 1508288036
Physician Assistant - Medical in Kennesaw, GA

Active since January 17, 2014PECOS EnrolledAccepts Medicare Assignment
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK MEDICAL CENTER, KENNESAW, GA 30144(770) 739-9555 Get Directions Write a Review

NPPES record last updated: January 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 10, 2022, Feb 27, 2017 (2 updates tracked since 2017).

About Elizabeth N Thai Pa-c NPPES

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

ELIZABETH N THAI PA-C (NPI 1508288036) is an individual medical provider in Kennesaw, Georgia, licensed in Georgia (007098) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (2013).

NPPES Registry Identity

NPI1508288036
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELIZABETH N THAICredential: PA-C
Location Address750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK MEDICAL CENTERKennesaw, GA 30144-5579
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 504-5678
Phone(770) 739-9555
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2013
Enumeration DateJanuary 17, 2014
Last NPPES UpdateJanuary 10, 20222 updates tracked since enumeration
✔ NPI 1508288036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in GA · 007098✔ Licensed in GA · 2558
750 TOWNPARK LN NW, Kennesaw, GA 30144
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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 and accepts Medicare assignment

Elizabeth N Thai Pa-c 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 ID5395975197
PECOS Enrollment IDI20140222000102
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.

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.

DR. TIFFANY L WRAY PHARMD
Pharmacist (Pharmacotherapy)
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5541
GRETCHEN EARWOOD
Dietitian, Registered
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5450
DR. KRISTINA HAZARD PHARMD
Pharmacist (Oncology)
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5483
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Clinical Medical Laboratory
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5426
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Pharmacy (Managed Care Organization Pharmacy)
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5500
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC
Pharmacy (Managed Care Organization Pharmacy)
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5487
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC
Pharmacy (Clinic Pharmacy)
750 TOWNPARK LN NW
KENNESAW, GA 30144
Cobb County (770) 514-5636
JOSEPH C REYNOLDS II P.A
Physician Assistant
750 TOWNPARK LN NW, KAISER PERMANENTE TOWNPARK COMPREHENSIVE MEDICAL CENTER
KENNESAW, GA 30144
Cobb County (770) 514-5401

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 Elizabeth Thai's NPI number?

The NPI number for Elizabeth Thai is 1508288036. It was assigned to this individual provider in the NPPES registry on January 17, 2014.

Where is Elizabeth Thai located?

Elizabeth Thai practices at 750 Townpark Ln NW Kaiser Permanente Townpark Medical Center, Kennesaw, GA 30144. The listed phone number is (770) 739-9555.

What is Elizabeth Thai's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elizabeth Thai enrolled in Medicare?

Yes. Elizabeth Thai 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Thai was last updated on January 10, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.