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Active NPI 1487244356 Individual Practitioner Female Practitioner

Sally R Thomas

Nurse Practitioner • Jackson, MS

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sally Thomas is a certified Nurse Practitioner practicing in Jackson, MS. With approximately 7 years of clinical experience since completing medical education in 2019, Sally Thomas delivers high-quality medical care to the local community at 969 LAKELAND DR.

Sally Thomas maintains professional affiliations with Mdb Behavioral Health Services Llc, Uppal Medical Center Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

969 Lakeland Dr

Jackson, MS 392164606

Telephone 6012006060
Fax 6012006767
Associated Practice Facility / Clinic
🏢 Jpa Pathology, P.a. Facility NPI 1104824309

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MS

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -6.4 yrs vs City Avg
City Avg: 13.4 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
169 Specialists

Practicing in Jackson, MS (1098 Statewide)

Telehealth Adoption Rate
5.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
42.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (7 Years) 7 Yrs
Jackson Specialty Average (13.4 Years) 13.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
96 33 $61.00 $29.16
99213 Established patient office or other outpatient visit, typically 15 minutes
48 23 $84.00 $53.84

Medical Specialties & State Licenses

CMS Verified: 2021-11-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MS 904076

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Primary Care

NUCC Taxonomy Code: 363LP2300X

State License MS 904076

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00827761 (MS)
Commercial Insurance / Payer ID Np License Number
904076 (MS)

Hospital & Practice Group Affiliations

Uppal Medical Center Llc

1727 E Union St, Greenville, MS 387033253

Phone: 6625374830

Mdb Behavioral Health Services Llc

1911 Mission, Vicksburg, MS 391803762

Phone: 6014562598

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1073725933

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 30, 2021

Registered at 969 LAKELAND DR, JACKSON, MS 392164606 (Tel: 6012006060)

📍
Updated Business Mailing Address November 30, 2021

Registered at PO BOX 23457, JACKSON, MS 392253457 (Tel: 6012006060)

NPI Profile Active January 24, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2021

Registered at 3276 S LIBERTY ST, CANTON, MS 390464516 (Tel: 6014071137)

📍
Updated Business Mailing Address January 24, 2021

Registered at 147 LINKS DR APT 15I, CANTON, MS 390465226 (Tel: 6625906852)

👤
Provider Name / Credentials Updated January 24, 2021

Recorded as SALLY THOMAS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2021

Nurse Practitioner (License #904076 in MS)

🟢
Initial NPI Registration & Enumeration January 24, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487244356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2021
Last Update: November 30, 2021
Sole Proprietor: No

Mailing Address

Po Box 23457

Jackson, MS 392253457

Phone: 6012006060

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.