Individual provider Active NPI

Cecilia Grace Thompson

  • Physician Assistant
  • Tuscaloosa, AL
National Provider Identifier
1144885880
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1444 Issued in AL
Practice address
1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone
(205) 759-2920
NPI assigned
May 8, 2019
Last updated
Feb 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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 1444 AL Primary

Addresses

Primary practice location

1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136

Mailing address

1828 2ND Ave NE
Tuscaloosa, AL 35406-1965
Phone (256) 483-8314

Other identifiers 1

IdentifierTypeStateIssuer
14446341MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20190617003367 AL Practitioner - Physician Assistant 7618200056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1774 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone (205) 759-2920

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
99.32
Promoting interoperability
100
Improvement activities
40
Cost
83.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Oct 11, 2024 Accepting new patients
G I Associates of West Alabama PC CurrentSince May 1, 2019 Accepting new patients
The DCH Healthcare Authority CurrentSince Oct 11, 2024 Accepting new patients
North River Surgical Center, LLC Past Accepting new patients

Locations

1774 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 759-2920

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 5

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 3

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": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1144885880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 2ND AVE NE",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354061965",
            "telephone_number": "256-483-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1774 MCFARLAND BLVD N",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062136",
            "telephone_number": "205-759-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CECILIA",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "1444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14446341",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.