MEDICARE: ALLYSON N THOMAS RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	RN295665	GA
2	163W00000X	Registered Nurse	RN295665	GA

General Provider Information

NPI Number	:	1780470310
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON N THOMAS RN

Provider Business Mailing Address
First Line	:	521 BETHLEHEM RD
Second Line	:
City	:	NAHUNTA
State	:	GA
Zip	:	31553-2253
Country	:	US
Telephone Number	:	912-276-1153
Fax Number	:

Provider Business Practice Location Address
First Line	:	247 S MAIN ST
Second Line	:
City	:	REIDSVILLE
State	:	GA
Zip	:	30453-4605
Country	:	US
Telephone Number	:	912-557-1000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	01/06/2026

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