Active NPI
Bradley A Tompson
- Addiction (Substance Use Disorder) Counselor
- Jackson, GA
National Provider Identifier
1013483858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 794 McDonough Rd Ste 100
Jackson, GA 30233-1572 - Phone
- (470) 488-0388
- Fax
- (470) 488-0026
- NPI assigned
- Oct 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
794 McDonough Rd Ste 100
Jackson, GA 30233-1572
Mailing address
533 Camano Way
McDonough, GA 30253-8377
Phone (470) 488-0388
Other practice location 1
901 S 9th Street
Griffin, GA 30224
Phone (470) 488-0388
Other practice location 2
1864 Kennesaw Due W Road
Kennesaw, GA 30152
Phone (470) 488-0388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daisy'S Love Homecare Services, LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/14337/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Aide
- McDonough, GA
- NPI 1487355806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1013483858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "533 CAMANO WAY",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538377",
"telephone_number": "470-488-0388",
"fax_number": "470-488-0026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "794 MCDONOUGH RD STE 100",
"city": "JACKSON",
"state": "GA",
"postal_code": "302331572",
"telephone_number": "470-488-0388",
"fax_number": "470-488-0026"
}
],
"practiceLocations": [
{
"address_1": "901 S 9th Street",
"address_purpose": "LOCATION",
"city": "Griffin",
"state": "GA",
"postal_code": "30224",
"country_code": "US",
"telephone_number": "470-488-0388",
"fax_number": "470-488-0026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1864 Kennesaw Due W Road",
"address_purpose": "LOCATION",
"city": "Kennesaw",
"state": "GA",
"postal_code": "30152",
"country_code": "US",
"telephone_number": "470-488-0388",
"fax_number": "470-488-0026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOMPSON",
"first_name": "BRADLEY",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.