Active NPI
John Mychal Thompson, MSN, APRN, AGNP-C
- Gerontology Nurse Practitioner
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 212494
- Practice address
- 3002 Moores LN
Texarkana, TX 75503-2204 - Phone
- (430) 200-4350
- Fax
- (833) 491-2722
- NPI assigned
- Oct 21, 2020
- Last updated
- Jun 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 212494 | AR | |
| Gerontology Nurse Practitioner | 363LG0600X | 212494 | AR | Primary |
Addresses
Primary practice location
3002 Moores LN
Texarkana, TX 75503-2204
Mailing address
1411 Terrace
Magnolia, AR 71753-2040
Phone (870) 833-1060
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Camden, AR 71701
Phone (972) 833-4573
1010 N Ctr St
Lonoke, AR 72086-2005
Phone (501) 438-8075
20 Wilson Farm Rd
Greenbrier, AR 72058-9310
Phone (501) 679-8970
2280 E Main St
El Dorado, AR 71730-6526
Phone (870) 895-2015
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212494 | AR | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Medical Clinic Arkansas LTC LLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LLC | Current | Accepting new patients | |
| Pallicare, Inc | Adult Health | Current | Accepting new patients |
| Access Medical Clinic Arkansas LLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Access Medical Clinic Arkansas LTC LLC | Current | Accepting new patients |
Locations
2280 E Main St
El Dorado, AR 71730
Phone (870) 444-5216
16723 Highway 62
Garfield, AR 72732
Phone (870) 219-7706
106 N Van Buren St
Weiner, AR 72479
Phone (870) 605-0014
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- john.thompson.1@15024.direct.athenahealth.com
- john.thompson.1@26850.direct.athenahealth.com
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.
-
- Rural Health Clinic/Center
- Salem, AR
- NPI 1578007647
-
- Rural Health Clinic/Center
- Weiner, AR
- NPI 1114578929
-
- Rural Health Clinic/Center
- Dierks, AR
- NPI 1295317295
-
- Rural Health Clinic/Center
- Camden, AR
- NPI 1508563362
-
- Rural Health Clinic/Center
- Concord, AR
- NPI 1235664772
-
- Family Medicine Physician
- Springfield, MO
- NPI 1841154846
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- El Dorado, AR
- NPI 1780375592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780963200000",
"number": "1174122121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 TERRACE",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717532040",
"telephone_number": "870-833-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3002 MOORES LN",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755032204",
"telephone_number": "430-200-4350",
"fax_number": "833-491-2722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JOHN",
"middle_name": "MYCHAL",
"name_prefix": "Mr.",
"credential": "MSN, APRN, AGNP-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-21",
"last_updated": "2026-06-09",
"certification_date": "2026-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AR",
"license": "212494",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AR",
"license": "212494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.