Keldreca Shuntae Thomas, FNP - Medicare Nurse Practitioner in Snellville, GA

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Keldreca Shuntae Thomas, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Snellville, Georgia. Her current practice location is 1700 Medical Way, Snellville, Georgia. You can reach out to her office (for appointments etc.) via phone at (478) 464-8134.

Keldreca Shuntae Thomas is licensed to practice in Georgia (license number RN230389) 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 1447797600.

Contact Information

Keldreca Shuntae Thomas, FNP
1700 Medical Way,
Snellville, GA 30078-2195
(478) 464-8134
Not Available

Map and Direction




Provider's Profile

Full NameKeldreca Shuntae Thomas
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1700 Medical Way, Snellville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447797600
  • Provider Enumeration Date: 01/26/2017
  • Last Update Date: 01/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799062501
  • Enrollment ID: I20170504000954

Medical Identifiers

Medical identifiers for Keldreca Shuntae Thomas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447797600NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN230389 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 55952 (New Mexico)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN230389 (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. Keldreca Shuntae Thomas allows following entities to bill medicare on her behalf.
Entity NameColumbus Ambulatory Healthcare Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790733244
PECOS PAC ID: 1355244385
Enrollment ID: O20040128000790
Entity NamePiedmont Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548219660
PECOS PAC ID: 1951299163
Enrollment ID: O20040309000820
Entity NameThe Family Health Centers Of Georgia, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720080989
PECOS PAC ID: 2062406903
Enrollment ID: O20040413000807
Entity NameMinuteclinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134191836
PECOS PAC ID: 6709850241
Enrollment ID: O20051024000186
Entity NamePrivia Medical Group Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013313857
PECOS PAC ID: 4284951542
Enrollment ID: O20150325000983
Entity NamePiedmont Athens Hospitalist Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578079000
PECOS PAC ID: 6305196411
Enrollment ID: O20180911003967

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. Keldreca Shuntae 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 AddressPractice Location Address
Keldreca Shuntae Thomas, FNP
901 W Alameda St Ste 25,
Santa Fe, NM 87501-1673

Ph: (505) 988-8869		Keldreca Shuntae Thomas, FNP
1700 Medical Way,
Snellville, GA 30078-2195

Ph: (478) 464-8134

Reviews and Comments


Nurse Practitioner Nurses in Snellville, GA

Jason R Casey, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1557 Janmar Rd, Snellville, GA 30078
Phone: 678-344-8900    Fax: 678-666-5201
Aneka Fawn Williams, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 1800 Tree Ln Ste 250, Snellville, GA 30078
Phone: 770-736-6300    
Yovanie Jean-pierre, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2986 Elizabeth Ln, Snellville, GA 30078
Phone: 404-694-7588    
Mrs. Katherine Evans Davis, RNC, NNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1700 Medical Way, Snellville, GA 30078
Phone: 770-876-7464    
Tayana Buchanan,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1700 Medical Way, Snellville, GA 30078
Phone: 404-610-0205    
Ugochi Adaku Udihirinwa,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5015 Michael Jay St, Snellville, GA 30039
Phone: 404-966-8212    
Dr. Angella Samuels, DNP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2795 Main St W Bldg 21, New Horizons Family Clinic, Snellville, GA 30078
Phone: 770-248-1637    Fax: 770-248-1638

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.