Gwendolyn Victoria Thompson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5019926 Issued in NC

Practice address

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781

Phone

(336) 988-2621

Fax

(855) 857-7333

NPI assigned

Apr 8, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elohim Housecall Doctors PAGroup PAC ID 0648550004, 5 clinicians

Authoracare CollectiveGroup PAC ID 3678558962, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Authoracare Collective Home health agency, Greensboro, NC, CCN 347128

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gwendolyn.victoria.thompson.1@14774.direct.athenahealth.com

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.

• Authoracare Collective

  • Community Based Hospice Care Agency
  • Greensboro, NC
  • NPI 1093774614
  Medicare reassignment Care Compare group NPD
• Elohim Housecall Doctors

  • Adult Medicine Physician
  • Greensboro, NC
  • NPI 1730636028
  Medicare reassignment Care Compare group NPD
• Eventus Wholehealth Aco LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Concord, NC
  • NPI 1023796307
  Medicare reassignment NPD
• Authoracare Collective

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Greensboro, NC
  • NPI 1194459461
  NPD

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

• Authoracare Collective

  • Community Based Hospice Care Agency
  • Greensboro, NC
  • NPI 1093774614

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1712534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1174376644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CABARRUS AVE E STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253781",
            "telephone_number": "336-988-2621",
            "fax_number": "855-857-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CABARRUS AVE E STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253781",
            "telephone_number": "336-988-2621",
            "fax_number": "855-857-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GWENDOLYN",
        "middle_name": "VICTORIA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-08",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Christine Thomas
• Wendi Carol Thomason, BS, MA, CCC-SLP
• Aubree Thompson
• Brittany Thompson
• Brooke Thompson, DNP, APRN, FNP
• Kaja Thompson
• Megan Thompson, LCMHC
• Sarah Katherine Thompson
• Teresa Thompson, C.F.M.
• Thomas Richard Thompson, RPH

• Family Nurse Practitioner in Concord, NC
• Providers in Concord, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.