THOMAS ALLEN SELF MD NPI 1881627107

NPI Information

NPI: 1881627107
Provider Name: THOMAS ALLEN SELF, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
855 CURTIS PKWY SE
CALHOUN, GA
ZIP 30701
Phone: (706) 879-6600
Get Directions

Thomas Allen Self, MD is a family medicine in Calhoun, GA. The provider is 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. Thomas Allen Self, MD NPI is 1881627107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

855 CURTIS PKWY SE
CALHOUN, GA
ZIP 30701-688
Phone: (706) 879-6600
Fax: (706) 879-6601

The enumeration date for this NPI number is 7/9/2006 and was last updated on 7/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		021587	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	000197128D	MEDICAID	GEORGIA
2	000197128L	MEDICAID	GEORGIA
3	000197128N	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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