George Thompson, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2629 Issued in TN

Practice address

1610 Tazewell Rd
Tazewell, TN 37879-3600

Phone

(865) 588-8229

Fax

(865) 212-0163

NPI assigned

Oct 15, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1063816395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52948",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379502948",
            "telephone_number": "865-306-5700",
            "fax_number": "865-584-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 TAZEWELL RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793600",
            "telephone_number": "865-588-8229",
            "fax_number": "865-212-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GEORGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "2629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q008750",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tazewell Express Care
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• Tazewell Medical Clinic, Inc.
• Tazewell Orthopaedic & Arthritis Clinic, PC
• Tennessee Cancer Specialists PLLC
• Trail of the Cumberlands Anesthesia Associates
• Tri State Sports Medicine and Rehabilitation Inc
• Tri-State Radiology
• Deane Turner
• Value RX LLC

• Medical Physician Assistant in Tazewell, TN
• Providers in Tazewell, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.