Dr Tedra Carolyn Thomas, MD in Fayetteville, GA

Dr Tedra Carolyn Thomas, MD is a medicare enrolled "Family Medicine" physician in Fayetteville, Georgia. Her current practice location is 730 Glynn St S, Fayetteville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 460-3650.

Dr Tedra Carolyn Thomas is licensed to practice in Georgia (license number 89557) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1821586645.

Contact Information

	Dr Tedra Carolyn Thomas, MD
	730 Glynn St S, Fayetteville, GA 30214-2050
	(770) 460-3650
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tedra Carolyn Thomas
Gender	Female
Speciality	Family Medicine
Location	730 Glynn St S, Fayetteville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821586645
Provider Enumeration Date: 04/26/2018
Last Update Date: 08/21/2025

Medicare PECOS Information:

PECOS PAC ID: 5890049902
Enrollment ID: I20200729003450

Medical Identifiers

Medical identifiers for Dr Tedra Carolyn Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821586645	NPI	-	NPPES
003255700A	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	89557 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tedra Carolyn Thomas allows following entities to bill medicare on her behalf.

Entity Name	Anmed Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639102270 PECOS PAC ID: 1951215243 Enrollment ID: O20040130000302

Entity Name	Anmed Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164746392 PECOS PAC ID: 1951215243 Enrollment ID: O20040315000478

Entity Name	Anmed Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427005727 PECOS PAC ID: 1951215243 Enrollment ID: O20040723000885

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tedra Carolyn Thomas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Tedra Carolyn Thomas, MD Po Box 4363, Macon, GA 31208-4363 Ph: (478) 787-4266	Dr Tedra Carolyn Thomas, MD 730 Glynn St S, Fayetteville, GA 30214-2050 Ph: (770) 460-3650

Reviews and Comments

Family Medicine Doctors in Fayetteville, GA

Dr. Viviana Ines Goldenberg, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Banks Sta, Kaiser Permanente Fayette Medical Center, Fayetteville, GA 30214 Phone: 678-610-3700 Fax: 770-631-2415
Dr. Frank Alena, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1975 Highway 54 West, Suite 150, Fayetteville, GA 30214 Phone: 770-486-5000 Fax: 404-588-2624
Mr. Derek Collins Ii, NP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 145 Johnson Ave, Fayetteville, GA 30214 Phone: 912-283-5260
Dr. William Collins, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1975 Highway 54 West, Suite 150, Fayetteville, GA 30214 Phone: 770-486-5000
Dr. William Clint Adcox, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Genevieve Ct Ste A, Fayetteville, GA 30215 Phone: 770-486-1818 Fax: 770-486-7303
Rodshawnda D Franklin, MSN, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 155 Carnegie Pl Ste 101, Fayetteville, GA 30214 Phone: 404-591-5027 Fax: 770-507-1962
Prof. Mukti Bhatia Kanji, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 101 Yorktown Dr, Suite 100, Fayetteville, GA 30214 Phone: 770-460-4285 Fax: 770-460-4319

Dr Tedra Carolyn Thomas, MD - Medicare Family Medicine in Fayetteville, GA