Provider Demographics
NPI:1841999562
Name:THOMAS, AFRICA (NP)
Entity type:Individual
Prefix:MS
First Name:AFRICA
Middle Name:
Last Name:THOMAS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 36TH ST UNIT 8124
Mailing Address - Street 2:
Mailing Address - City:FORT EISENHOWER
Mailing Address - State:GA
Mailing Address - Zip Code:30905-7753
Mailing Address - Country:US
Mailing Address - Phone:718-344-4567
Mailing Address - Fax:866-206-1970
Practice Address - Street 1:2857 TOBACCO RD STE 4
Practice Address - Street 2:
Practice Address - City:HEPHZIBAH
Practice Address - State:GA
Practice Address - Zip Code:30815-9004
Practice Address - Country:US
Practice Address - Phone:718-344-4567
Practice Address - Fax:866-206-1970
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-02
Last Update Date:2024-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN219100163W00000X, 163WP0808X, 163WP0809X, 163WX0106X, 171M00000X, 163WC0400X
GAAPRN100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163W00000XNursing Service ProvidersRegistered Nurse
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
No163WX0106XNursing Service ProvidersRegistered NurseOccupational Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner