THOMAS TAYLOR SHOLES M.D.
NPI 1982990966
Obstetrics & Gynecology in Athens, GA

Q: What is Thomas Sholes's NPI number?

The NPI number for Thomas Sholes is 1982990966. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Q: What is Thomas Sholes's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Sholes was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 28, 2011PECOS EnrolledAccepts Medicare Assignment

1000 HAWTHORNE AVE, SUITE K, ATHENS, GA 30606(706) 286-8692(706) 286-8693 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Thomas Taylor Sholes M.d. NPPES

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

THOMAS TAYLOR SHOLES M.D. (NPI 1982990966) is an individual obstetrics & gynecology provider in Athens, Georgia, licensed in Georgia (4752) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and is a graduate of Medical College Of Georgia School Of Medicine (2015).

NPPES Registry Identity

NPI1982990966

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameTHOMAS TAYLOR SHOLESCredential: M.D.

Location Address1000 HAWTHORNE AVE, SUITE KAthens, GA 30606-2168

Mailing Address1000 Hawthorne Ave, Suite KAthens, GA 30606-2168 · (706) 286-8692 · Fax (706) 286-8693

Phone(706) 286-8692

Fax(706) 286-8693

Sole ProprietorNo

Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2015

Enumeration DateJune 28, 2011

Last NPPES UpdateAugust 19, 2015

✔ NPI 1982990966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in GA · 4752

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1000 HAWTHORNE AVE, Athens, GA 30606

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Thomas Taylor Sholes M.d. 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 ID4486966926

PECOS Enrollment IDI20150720001258

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 5

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.

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

44 services41 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.

34 services22 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

29 services29 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.

22 services14 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

20 services20 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 30606 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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.

MCELHANNON ORTHOPEDIC CLINIC, P.C.

Orthopaedic Surgery

1000 HAWTHORNE AVE, SUITE J
ATHENS, GA 30606

Clarke County (706) 548-1386

ADVANCED GYNECOLOGIC SURGERY CENTER

Clinic/Center (Ambulatory Surgical)

1000 HAWTHORNE AVE, SUITE V
ATHENS, GA 30606

Clarke County (706) 248-6860

DR. ELIZABETH L JOHNSON M.D.

Internal Medicine

1000 HAWTHORNE AVE, SUITE H
ATHENS, GA 30606

Clarke County (706) 546-0832

MRS. CAROL B NORTON FNP-C

Nurse Practitioner

1000 HAWTHORNE AVE, SUITE J
ATHENS, GA 30606

Clarke County (706) 369-4478

WILLIAM M VAUGHN PA

Physician Assistant

1000 HAWTHORNE AVE, SUITE O
ATHENS, GA 30606

Clarke County (706) 353-0093

MRS. MELISSA W. SAUNDERS R.N., CRNFA

Registered Nurse

1000 HAWTHORNE AVE, SUITE S
ATHENS, GA 30606

Clarke County (706) 548-1386

LEIGH ADAMS

Physical Therapist

1000 HAWTHORNE AVE, SUITE J
ATHENS, GA 30606

Clarke County (706) 548-3438

DR. ROBERT WESLEY LOWRY D.D.S.

Dentist (General Practice)

1000 HAWTHORNE AVE, SUITE R
ATHENS, GA 30606

Clarke County (706) 546-6451

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 Sholes's NPI number?

The NPI number for Thomas Sholes is 1982990966. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Thomas Sholes located?

Thomas Sholes practices at 1000 Hawthorne Ave Suite K, Athens, GA 30606. The listed phone number is (706) 286-8692.

What is Thomas Sholes's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomas Sholes enrolled in Medicare?

Yes. Thomas Sholes 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 Thomas Sholes accept?

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

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

When was this NPI record last updated?

The NPPES record for Thomas Sholes was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.