Jeremy R Thompson, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-5837 Issued in AR

Practice address

1400 W Markham St Ste 407
Little Rock, AR 72201-1844

Phone

(501) 319-4819

Fax

(501) 897-6195

NPI assigned

Oct 2, 2006

Reactivated

Aug 7, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

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

Specialty

Psychiatry

Education

Washington University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cornerstone Counseling Clinic, Inc.Group PAC ID 0547665382, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Moulton, AL, CCN 017071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cornerstone Counseling Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Nashville, AR
  • NPI 1851819544
  Medicare reassignment Care Compare group NPD
• Jrtmd LLC

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1497460398
  Medicare reassignment NPD Authorized official
• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  Medicare reassignment NPD
• Access Telecare, PLLC

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1013303080

  AR, Psychiatry

  Medicare reassignment NPD
• Senior Resolution Resources, Inc

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1760453914
  NPD (past)
• We Psychiatric Services PLLC

  • Psychologist
  • Little Rock, AR
  • NPI 1932174836
  NPD (past)

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

• Mid-South Home Health, LLC

  • Home Health Agency
  • Moulton, AL
  • NPI 1376572081
  Care Compare affiliation

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1134212947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 W MARKHAM ST STE 407",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011844",
            "telephone_number": "501-319-4819",
            "fax_number": "501-897-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W MARKHAM ST STE 407",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722011844",
            "telephone_number": "501-319-4819",
            "fax_number": "501-897-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056659",
            "country_code": "US",
            "telephone_number": "501-225-0576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Cornerstone Shopping Center Suite G1",
            "address_purpose": "LOCATION",
            "city": "Heber Springs",
            "state": "AR",
            "postal_code": "72543",
            "country_code": "US",
            "telephone_number": "501-615-4028",
            "fax_number": "833-520-1539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720237478",
            "country_code": "US",
            "telephone_number": "501-615-4028",
            "fax_number": "833-520-1539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEREMY",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-5837",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2006018429",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183377001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dedra Thompson
• Dustin Thompson, PHARM.D
• Emily Diane Thompson
• Janee Nicole Thompson
• Jennifer Thompson, APRN
• Joan M Thompson, MS CCC SLP
• John Robert Thompson
• Jonathan Thompson
• Jordan Thompson, DDS
• Joseph Thompson, MD

• Psychiatry Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.