Larry Verdell Thigpen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9853 Issued in GA

Practice address

3041 Vineville Ave
Macon, GA 31204-2460

Phone

(478) 750-0003

Fax

(478) 750-0015

NPI assigned

Jan 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083767008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042460",
            "telephone_number": "478-750-0003",
            "fax_number": "478-750-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 VINEVILLE AVE",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312042460",
            "telephone_number": "478-750-0003",
            "fax_number": "478-750-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIGPEN",
        "first_name": "LARRY",
        "middle_name": "VERDELL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "9853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Women's Health Institute of Macon, PC
• The Womens Center of Central Georgia
• Roger Peter Theodore, DPM
• Therapy Specialists of Georgia
• James C Thigpen Jr., M.D.
• Thomas C Jones, M.D., P.C. (The Jones Center for Diabetes & Endocrine Wellness)
• Yolanda Thomas-Bean
• Alvarez Thomas, RBT
• Clarice J Thomas, FNP-C
• Dorothy Bre'Anna D Thomas, FNP-C

• General Practice Dentistry in Macon, GA
• Providers in Macon, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.