THOMAS L GARCIA DO
NPI 1710144324
Family Medicine in Lafayette, GA

Active since May 21, 2008PECOS EnrolledAccepts Medicare Assignment
611 EAST VILLANOW STREET, LAFAYETTE, GA 30728(706) 638-1606(706) 638-9987 Get Directions Write a Review

NPPES record last updated: February 3, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Thomas L Garcia Do NPPES

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

THOMAS L GARCIA DO (NPI 1710144324) is an individual family medicine provider in Lafayette, Georgia, licensed in Georgia (063420) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1710144324
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS L GARCIACredential: DO
Location Address611 EAST VILLANOW STREETLafayette, GA 30728
Mailing Address611 East Villanow StreetLafayette, GA 30728 · (706) 638-1606 · Fax (706) 638-9987
Fax(706) 638-9987
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 21, 2008
Last NPPES UpdateFebruary 3, 2014
✔ NPI 1710144324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 063420
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
611 EAST VILLANOW STREET, Lafayette, GA 30728

Accepted 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

Thomas L Garcia Do 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 ID7012051980
PECOS Enrollment IDI20100216000130
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

14

Medicare enrollment records show Thomas Garcia reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2709 AIRPORT RD
Dalton, GA 30721
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Biotech Labs LLC
  • 2 clinicians in this Medicare group
Emergency Medicine
1035 RED BUD RD NE
Calhoun, GA 30701
  • Reassigned Medicare billing, Georgia enrollment
  • 80 clinicians in this Medicare group
Emergency Medicine
707 OLD DALTON ELLIJAY RD
Chatsworth, GA 30705
  • Reassigned Medicare billing, Georgia enrollment
  • 55 clinicians in this Medicare group
Hospitalist
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 343 clinicians in this Medicare group
Hospitalist
2360 ROCKMART HWY
Cedartown, GA 30125
  • Reassigned Medicare billing, Georgia enrollment
  • 160 clinicians in this Medicare group
Emergency Medicine
200 ALLEN MEMORIAL DR, EMERGENCY DEPARTMENT
Bremen, GA 30110
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
Emergency Medical Services
35 HOSPITAL RD
Blairsville, GA 30512
  • Reassigned Medicare billing, Georgia enrollment
  • 50 clinicians in this Medicare group
Emergency Medicine
110 S MAIN ST
Hiawassee, GA 30546
  • Reassigned Medicare billing, Georgia enrollment
  • 30 clinicians in this Medicare group
Emergency Medicine
601 S 8TH ST
Griffin, GA 30224
  • Reassigned Medicare billing, Georgia enrollment
  • 208 clinicians in this Medicare group
Emergency Medicine
4 MEDICAL DR
Elberton, GA 30635
  • Reassigned Medicare billing, Georgia enrollment
  • 137 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 12

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
271 services219 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
177 services158 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.
169 services104 patients
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.
129 services87 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
54 services47 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
50 services40 patients

Hospital Affiliations CMS Care Compare 4

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

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Adventhealth Murray

Acute Care Hospitals · Chatsworth, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110050
Location707 Old Dalton Ellijay Road, PO Box 1406Chatsworth, GA 30705 · Murray County
Emergency services

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Memorial Hospital And Manor

Acute Care Hospitals · Bainbridge, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110132
Location1500 E Shotwell StreetBainbridge, GA 39819 · Decatur County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30728 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$96.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner
611 EAST VILLANOW STREET
LAFAYETTE, GA 30728
Nurse Practitioner
611 EAST VILLANOW STREET, CHI - MEMORIAL FAMILY PRACTICE ASSOCIATES - LAFAYETTE
LAFAYETTE, GA 30728
Pediatrics
611 EAST VILLANOW STREET
LA FAYETTE, GA 30728
Nurse Practitioner (Family)
611 EAST VILLANOW STREET
LAFAYETTE, GA 30728

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 Thomas Garcia's NPI number?

The NPI number for Thomas Garcia is 1710144324. It was assigned to this individual provider in the NPPES registry on May 21, 2008.

Where is Thomas Garcia located?

Thomas Garcia practices at 611 East Villanow Street, Lafayette, GA 30728. The listed phone number is (706) 638-1606.

What is Thomas Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Garcia enrolled in Medicare?

Yes. Thomas Garcia 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 Thomas Garcia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Garcia reassigns Medicare benefits to 14 organizations: Biotech Lab LLC (Dalton, GA), Gordon Emergency Physicians, LLC (Calhoun, GA), Murray Emergency Physicians, LLC (Chatsworth, GA), 24 On Physicians, PC (Rome, GA), Georgia Hospitalists Group, LLC (Cedartown, GA) and 9 more organizations, 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 Thomas Garcia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Garcia accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Thomas Garcia 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 Thomas Garcia affiliated with any hospitals?

According to CMS data, Thomas Garcia is affiliated with Adventhealth Gordon, Adventhealth Murray, Union General Hospital and Memorial Hospital And Manor.

When was this NPI record last updated?

The NPPES record for Thomas Garcia was last updated on February 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.