Individual provider Active NPI

John R Thompson III, MD

  • Addiction Medicine (Family Medicine) Physician
  • Williamsburg, VA
National Provider Identifier
1174572523
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
0101279714 Issued in VA
Practice address
800 E Rochambeau Dr Ste F230
Williamsburg, VA 23188-9006
Phone
(757) 656-2295
Fax
(757) 210-3108
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 15609 AZ
Addiction Medicine (Family Medicine) Physician 207QA0401X 0101279714 VA Primary

Addresses

Primary practice location

800 E Rochambeau Dr Ste F230
Williamsburg, VA 23188-9006

Mailing address

Box 230
800 E Rochambeau Dr Ste F
Williamsburg, VA 23188-9006
Phone (757) 656-2295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Aug 27, 2024 through Aug 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101279714VAMDAddiction Medicine (Family Medicine) Physician
15609AZMDMusic Therapist

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1174572523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 230",
            "address_2": "800 E ROCHAMBEAU DR STE F",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889006",
            "telephone_number": "757-656-2295",
            "fax_number": "757-210-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ROCHAMBEAU DR STE F230",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231889006",
            "telephone_number": "757-656-2295",
            "fax_number": "757-210-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "15609",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "VA",
            "license": "0101279714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.