Elizabeth J Thomas, PA-C
Physician Assistant in Jacksonville, FL. Individual provider (NPI-1).
NPI number1497322341
StatusActive
Last updated in NPPESJun 19, 2026
Details
- NPI
- 1497322341
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth J Thomas
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2021
- Certification date
- Jun 19, 2026
- Last updated
- Jun 19, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA9114363 | FL | Yes |
Practice location
836 Prudential Dr Ste 1700Jacksonville, FL 32207-8344
Phone 904-398-0125 · Fax 904-398-1832
Mailing address
Po Box 746652Atlanta, GA 30374-6652
Phone 904-202-2092 · Fax 904-376-4075
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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