Individual provider Active NPI

Stuart Thompson Jr.

  • Homemaker
  • Atlanta, GA
National Provider Identifier
1194416594
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
PHCP011463 Issued in GA
Practice address
100 Hartsfield Center Pkwy Ste 516
Atlanta, GA 30354-1341
Phone
(478) 719-0272
NPI assigned
May 16, 2023
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X PHCP011463 GA Primary
Nurse's Aide 376K00000X PCHP011463 GA

Addresses

Primary practice location

100 Hartsfield Center Pkwy Ste 516
Atlanta, GA 30354-1341

Mailing address

100 Hartsfield Center Pkwy Ste 516
Atlanta, GA 30354-1341
Phone (478) 719-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PHCP011463GAMDHomemaker
PCHP011463GAMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Care Runners EMS Current Accepting new patients
Care Runners Home Care Services, Inc CurrentSince May 21, 2023 Accepting new patients

Locations

100 Hartsfield Center Pkwy
Ste 516
Atlanta, GA 30354
Phone (478) 719-0272

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1194416594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HARTSFIELD CENTER PKWY STE 516",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541341",
            "telephone_number": "478-719-0272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HARTSFIELD CENTER PKWY STE 516",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541341",
            "telephone_number": "478-719-0272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "STUART",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "GA",
            "license": "PHCP011463",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "PCHP011463",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.