Individual provider Active NPI

Thomas Reece Thompson, MD

  • Diagnostic Radiology Physician
  • Dyersburg, TN
National Provider Identifier
1104810589
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD7143 Issued in TN
Practice address
400 E Tickle St
Dyersburg, TN 38024
Phone
(731) 285-2346
Fax
(731) 285-4717
NPI assigned
Aug 31, 2005
Last updated
Jul 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD7143 TN Primary

Addresses

Primary practice location

400 E Tickle St
Dyersburg, TN 38024

Mailing address

PO Box 1296
Dyersburg, TN 38025-1296
Phone (731) 285-2346

Other practice location 1

100 Thompson Ln
Dyersburg, TN 38024-8678
Phone (731) 445-8180

Other identifiers 2

IdentifierTypeStateIssuer
3169037MedicaidTN
Q020366MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101228000085 TN Practitioner - Diagnostic Radiology 5092792572 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Radiology Associates PLCGroup PAC ID 6507835154, 3 clinicians
USA Radiology Management Solutions LLCGroup PAC ID 3577780337, 26 clinicians
Memphis Physicians Radiological Group PCGroup PAC ID 9830123736, 79 clinicians

Practice addresses (Care Compare)

1335 Flowering Dogwood LN
Dyersburg, TN 38024-2890
Phone (731) 285-2225

1950 Cook St
Suite D
Dyersburg, TN 38024-1899
Phone (731) 285-7999

201 S Front St
Halls, TN 38040-1547
Phone (731) 836-5617

202 Tucker Ave
Ripley, TN 38063-1631
Phone (731) 635-4741

276 Bishop Rd
Dyersburg, TN 38024-8416
Phone (731) 676-7635

301 Tyson Ave
Paris, TN 38242-4544
Phone (731) 642-1220

321 E Harper St
Troy, TN 38260-5913
Phone (731) 536-0371

340 Asbury Ave
Ripley, TN 38063-5577
Phone (731) 221-2200

400 E Tickle St
Dyersburg, TN 38024-3120
Phone (731) 285-2410

521 Hwy 51 N
Ripley, TN 38063-5903
Phone (731) 635-7000

58 S Bells St
Alamo, TN 38001-1700
Phone (731) 696-5401

5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-2191

710 Carl Perkins Pkwy
Tiptonville, TN 38079-1678
Phone (731) 253-6690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7143TNMDMental Health Counselor
MD7143TNMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vanderbilt University Medical Center Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Memphis Physicians Radiological Group PC Diagnostic Radiology CurrentSince Jan 14, 2024 Accepting new patients
Independent Radiology Associates PLC Diagnostic Radiology CurrentSince Jan 1, 1975 Accepting new patients
USA Radiology Management Solutions LLC Diagnostic Radiology CurrentSince Jun 27, 2023 Accepting new patients
Savannah Chatham Imaging LLC Diagnostic Radiology CurrentSince Mar 15, 2024 Accepting new patients
USA Radiology of Pennsylvania, LLC Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients

Locations

Dept A T 40379
Atlanta, GA 31192

5353 Reynolds St
Savannah, GA 31405
Phone (912) 692-6172

2000 Holiday Ln
Fulton, KY 42041
Phone (270) 472-2522

10 Little Brook Rd
West Wareham, MA 02576

35629 Highway 72
Salem, MO 65560
Phone (573) 729-8000

305 W Court St
Dyersburg, TN 38024
Phone (731) 285-2346

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

204 Medical Dr
Lafayette, TN 37083
Phone (615) 443-7330

5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000

719 Thompson Ln
Nashville, TN 37204
Phone (615) 322-6485

301 Tyson Ave
Paris, TN 38242
Phone (731) 642-1220

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/lauderd-6f671ec9

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1104810589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1296",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380251296",
            "telephone_number": "731-285-2346",
            "fax_number": "731-285-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-285-2346",
            "fax_number": "731-285-4717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Thompson Ln",
            "address_purpose": "LOCATION",
            "city": "Dyersburg",
            "state": "TN",
            "postal_code": "380248678",
            "country_code": "US",
            "telephone_number": "731-445-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "THOMAS",
        "middle_name": "REECE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "MD7143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3169037",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020366",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.