Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ian Thomas, PA

Individual provider Physician Assistant · NPI 1164006615

Ian Thomas, PA is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2021, 5 years ago. Practices with Advanced Urology Institute of Georgia, a 56-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

501 Crown Pointe Way
Lawrenceville, GA 30046
Phone: (404) 341-6583
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 10252 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 1181566 (GA)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1164006615
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2021
Last updated in NPPESMay 7, 2024
Certification dateApril 26, 2024
Mailing address1551 Janmar Rd, Snellville, GA 30078-5606

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advanced Urology Institute Of Georgia — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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