Individual provider Active NPI

Andrew Wade Thompson, PA

  • Physician Assistant
  • Columbus, IN
National Provider Identifier
1144734831
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10002384A Issued in IN
Practice address
940 N Marr Rd Ste B
Columbus, IN 47201-2610
Phone
(812) 375-0272
Fax
(812) 375-1093
NPI assigned
Nov 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10002384A IN Primary

Addresses

Primary practice location

940 N Marr Rd Ste B
Columbus, IN 47201-2610

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 376-5315

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address athompson8824@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20171129000737 IN Practitioner - Physician Assistant 4183981426 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Regional Health Physicians LLCGroup PAC ID 1052612314, 216 clinicians

Practice addresses (Care Compare)

200 E 3Rd St
Seymour, IN 47274-1682
Phone (812) 375-0272

2400 17TH St
Columbus, IN 47201-5351
Phone (812) 376-5974

2475 Northpark Dr
Suite 20
Columbus, IN 47203-2215
Phone (812) 375-0272

301 Henry St
BLDG 2
North Vernon, IN 47265-1030
Phone (812) 352-4493

720 N Lincoln St
Greensburg, IN 47240-1327
Phone (812) 375-0272

Hospital & facility affiliations

  • Columbus Regional Hospital Hospital, Columbus, IN, CCN 150112
  • Decatur County Memorial Hospital Hospital, Greensburg, IN, CCN 151332
  • Schneck Medical Center Hospital, Seymour, IN, CCN 150065
  • Ascension St Vincent Jennings Hospital, North Vernon, IN, CCN 151303
  • Johnson Memorial Hospital Hospital, Franklin, IN, CCN 150001

Merit-based Incentive Payment System (MIPS)

Final score
93.97 of 100Reported as apm
Quality
85.1
Promoting interoperability
94.69
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10002384AINMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Physicians, LLC CurrentSince Nov 1, 2017 Accepting new patients
Columbus Regional Health Physicians, LLC CurrentSince Nov 1, 2017 Accepting new patients
Columbus Regional Health Physicians, LLC Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

940 N Marr Rd
Ste B
Columbus, IN 47201
Phone (812) 372-1370

2475 Northpark Dr
Ste 20
Columbus, IN 47203
Phone (812) 372-7800

2325 18th St
Ste 120
Columbus, IN 47201
Phone (812) 375-0254

1140 W Jefferson St
Franklin, IN 46131
Phone (317) 736-4337

1159 W Jefferson St
Ste 201
Franklin, IN 46131
Phone (317) 736-0465

720 N Lincoln St
Greensburg, IN 47240
Phone (812) 522-2349

301 Henry St
Bldg 2
North Vernon, IN 47265
Phone (812) 352-4493

2340 N State Highway 7
North Vernon, IN 47265
Phone (812) 352-8150

301 Henry St
North Vernon, IN 47265
Phone (812) 352-4200

200 E 3rd St
Seymour, IN 47274
Phone (812) 375-0272

Interoperability endpoints

  • Direct secure messaging: athompson8824@edirect.crh.org

Organizations & group practices 4

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.

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": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1144734831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-376-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N MARR RD STE B",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472012610",
            "telephone_number": "812-375-0272",
            "fax_number": "812-375-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANDREW",
        "middle_name": "WADE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10002384A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "athompson8824@edirect.crh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "940 N Marr Rd Ste B",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472012610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.