Active NPI
Barry L Thompson
- Dermatology Physician
- Augusta, GA
National Provider Identifier
1215923073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- BARRY L THOMPSON
- Practice address
- 2060 Central Ave
Augusta, GA 30904-4177 - Phone
- (706) 738-4442
- Fax
- (706) 738-3841
- NPI assigned
- Sep 26, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry L Thompson, M.D.
- Title
- Sole Member
- Phone
- (706) 738-4442
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2060 Central Ave
Augusta, GA 30904-4177
Mailing address
2060 Central Ave
Augusta, GA 30904-4177
Phone (706) 738-4442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GP29679 | Other | GA | RAILROAD MEDICARE |
| GPA783 | Medicaid | SC |
Other names 1
- Central Dermatology LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Augusta, GA
- NPI 1760478580
-
- Dermatology Physician
- Augusta, GA
- NPI 1477549277
-
- Adult Health Nurse Practitioner
- Aiken, SC
- NPI 1982979084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184803200000",
"number": "1215923073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 CENTRAL AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044177",
"telephone_number": "706-738-4442",
"fax_number": "706-738-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 CENTRAL AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044177",
"telephone_number": "706-738-4442",
"fax_number": "706-738-3841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARRY L THOMPSON",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-26",
"last_updated": "2007-07-19",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "BARRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "706-738-4442",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "GP29679",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GPA783",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Dermatology LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.