Individual provider Active NPI

Anjanette Miles Thompson, FNP

  • Primary Care Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1053610170
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5017820 Issued in NC
Practice address
1317 N Elm St Ste 7
Greensboro, NC 27401-1023
Phone
(336) 252-4877
NPI assigned
Mar 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5017820 NC
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 5017820 NC Primary
Registered Nurse 163W00000X 233571 NC

Addresses

Primary practice location

1317 N Elm St Ste 7
Greensboro, NC 27401-1023

Mailing address

1317 N Elm St Ste 7
Greensboro, NC 27401-1023
Phone (336) 373-1557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000271 NC Practitioner - Nurse Practitioner 0547608762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bland Clinic, PAGroup PAC ID 6800790452, 3 clinicians

Practice addresses (Care Compare)

1317 N Elm St
Suite 7
Greensboro, NC 27401-1023
Phone (336) 373-1557

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
233571NCMDRegistered Nurse
5017820NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Sep 13, 2024 Accepting new patients
Bland Clinic, PA Single Specialty CurrentSince Feb 20, 2024 Accepting new patients

Locations

1317 N Elm St
Ste 7
Greensboro, NC 27401
Phone (336) 252-4877

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1053610170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 N ELM ST STE 7",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011023",
            "telephone_number": "336-373-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 N ELM ST STE 7",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011023",
            "telephone_number": "336-252-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANJANETTE",
        "middle_name": "MILES",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-16",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017820",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5017820",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "233571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.