Darrel W Thompson, RN 12088NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN 12088NP Issued in GA

Practice address

100 College Station Dr
Macon, GA 31206-5100

Phone

(478) 471-2783

NPI assigned

Feb 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1063548923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COLLEGE STATION DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312065100",
            "telephone_number": "478-471-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COLLEGE STATION DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312065100",
            "telephone_number": "478-471-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DARREL",
        "middle_name": "W",
        "name_prefix": "Prof.",
        "credential": "RN 12088NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN 12088NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Rashad Thomas
• Suzannah T. Thomason, LMFT
• Pam Thomasson, P.T.
• Bryar Thompson, DO
• Conroy Thompson
• Joulia Mikhailovna Thompson, M.D.
• Kaitlyn Thompson, NP
• Kerri Thompson, LCSW
• Mary Michelle Thompson, SPEECH THERAPIST
• Tracy Lynette Thompson

• Nurse Practitioner in Macon, GA
• Providers in Macon, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.