IndividualActive
Nicole Thomas, ATC, LAT
NPI 1205477635 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Milton, GA
Provider details
- NPI number
- 1205477635
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
- License
- AT002470 (GA)
Specialties & taxonomies
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081S0010XLicense AT002470 (GA)
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13025 Birmingham Hwy
Milton, GA 30004-7306
Phone: (470) 254-7000
Street-level locationGet directions
Mailing address
1248 Autumn Wood Trl
Buford, GA 30518-8627
Registry dates
- Enumerated
- 2019-10-07
- Last updated
- 2019-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.