NPIMap

Individual provider Active NPI

Michael Steven Thompson, MD

  • Family Medicine Physician
  • Booneville, MS
National Provider Identifier
1184118796
Registry record updated Jul 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27141 Issued in MS
Practice address
1301 N 2ND St
Booneville, MS 38829-1028
Phone
(662) 728-2071
Fax
(662) 377-2667
NPI assigned
Jun 18, 2018
Last updated
Jul 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27141 MS Primary

Addresses

Primary practice location

1301 N 2ND St
Booneville, MS 38829-1028

Mailing address

1301 N 2ND St
Booneville, MS 38829-1028
Phone (662) 728-2071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210712001334 MS Practitioner - Family Practice 3476801358 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1301 N 2ND St
Booneville, MS 38829-1028
Phone (662) 728-2071

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27141MSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Clinics Inc Family Medicine Current Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jul 5, 2021 Accepting new patients
North Mississippi Medical Center Current Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Feb 22, 2025 Accepting new patients
North Mississippi Medical Clinics Inc CurrentSince Jul 5, 2021 Accepting new patients
Abode Care Partners Al VB, LLC CurrentSince Feb 22, 2025 Accepting new patients
Icp Mississippi Aco Billing, LLC CurrentSince Dec 20, 2021 Accepting new patients
Abode Care Partners LTC VB, LLC CurrentSince Feb 22, 2025 Accepting new patients

Locations

805 N Whittington Pkwy
Northfield, KY 40222
Phone (502) 627-7000

1301 N 2nd St
Booneville, MS 38829
Phone (662) 728-2071

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

845 S Madison St
Tupelo, MS 38801
Phone (601) 790-5025

Interoperability endpoints

  • Direct secure messaging: michaelthompson@nmhs.medalliesdirect.net

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.

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1184118796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291028",
            "telephone_number": "662-728-2071",
            "fax_number": "662-377-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N 2ND ST",
            "city": "BOONEVILLE",
            "state": "MS",
            "postal_code": "388291028",
            "telephone_number": "662-728-2071",
            "fax_number": "662-377-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MICHAEL",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "27141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, MS

Sources for this page

Verify at the official NPI Registry.