Organization Active NPI

Barry L Thompson

  • Dermatology Physician
  • Augusta, GA
National Provider Identifier
1215923073
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
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

Updated by the provider on Jul 19, 2007

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

Authorized official

Name
Barry L Thompson, M.D.NPI 1760478580
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
GP29679OtherGARAILROAD MEDICARE
GPA783MedicaidSC

Other names 1

  • Central Dermatology LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.