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

Mitspa Thomas

Individual provider Family Nurse Practitioner · NPI 1477225340

Mitspa Thomas is a Nurse Practitioner in Watkinsville, Georgia. Qualified in 2021, 5 years ago. Practices with University Cancer and Blood Center LLC, a 63-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

1460 Resurgence Dr
Watkinsville, GA 30677-7320
Phone: (706) 515-2410
Fax: (706) 353-2992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 658 N Chase St Ste 201, Athens, GA 30601-1960 — (762) 356-4785
  • 3320 Old Jefferson Rd Bldg 800, Athens, GA 30607-1400 — (706) 353-2290

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN311227 (GA)

Record details

NPI number1477225340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2021
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024
Mailing address3320 Old Jefferson Rd Bldg 800, Athens, GA 30607-1400

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Cancer And Blood Center Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Watkinsville