Active NPI
Stuart Thompson Jr.
- Homemaker
- Atlanta, GA
National Provider Identifier
1194416594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- License
- PHCP011463
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PHCP011463 | GA | MD | Homemaker |
| PCHP011463 | GA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Runners EMS | Current | Accepting new patients | |
| Care Runners Home Care Services, Inc | Current | 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.
-
- Land Ambulance
- Stockbridge, GA
- NPI 1023686276
-
- Home Health Agency
- McDonough, GA
- NPI 1891495214
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.