Dominique Michelle Thompson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TRN23732 Issued in FL

Practice address

1014 NW 57TH St
Gainesville, FL 32605-4486

Phone

(352) 376-8211

NPI assigned

Jun 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, TN, FL3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Family Practice

Education

Meharry Medical College School of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Keller Hospitalist ServicesGroup PAC ID 3870829161, 15 clinicians

Immh Scottsboro LLCGroup PAC ID 2567787344, 15 clinicians

Alh HospitalistGroup PAC ID 7517289861, 10 clinicians

Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Helen Keller Hospital Hospital, Sheffield, AL, CCN 010019
• Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
• St Vincents Blount Hospital, Oneonta, AL, CCN 011305
• Red Bay Hospital Hospital, Red Bay, AL, CCN 011302
• St Vincent'S St Clair Hospital, Pell City, AL, CCN 010130

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dominique.thompson.1@14940.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Immh Scottsboro LLC

  • Emergency Medicine Physician
  • Scottsboro, AL
  • NPI 1558762393
  Medicare reassignment Care Compare group NPD
• Keller Hospitalist Services

  • Hospitalist Physician
  • Sheffield, AL
  • NPI 1235797200
  Medicare reassignment Care Compare group NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment Care Compare group NPD
• Alh Hospitalist

  • Hospitalist Physician
  • Athens, AL
  • NPI 1770992398
  Medicare reassignment Care Compare group
• Advantage Family Care Inc

  • Urgent Care Clinic/Center
  • Florence, AL
  • NPI 1023447943

  Family Medicine

  Medicare reassignment NPD
• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment NPD
• CRH Umc LLC

  • Clinic/Center
  • Madison, AL
  • NPI 1922349083
  Medicare reassignment NPD
• Ess of Eufaula, LLC

  • Emergency Medicine Physician
  • Eufaula, AL
  • NPI 1013650456
  Medicare reassignment NPD
• Ess of Luverne LLC

  • Emergency Medicine Physician
  • Luverne, AL
  • NPI 1457953473
  Medicare reassignment NPD
• Island Medical Alabama LLC

  • Emergency Medicine Physician
  • Cullman, AL
  • NPI 1104097666
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AL

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  TN

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• HH Health System - Athens Limestone, LLC

  • General Acute Care Hospital
  • Athens, AL
  • NPI 1144695081
  Care Compare affiliation
• HH Health System - Shoals LLC

  • Critical Access Hospital
  • Red Bay, AL
  • NPI 1073601043
  Care Compare affiliation
• HH Health System - Shoals LLC

  • General Acute Care Hospital
  • Sheffield, AL
  • NPI 1508952235
  Care Compare affiliation
• St Vincents Blount

  • Critical Access Hospital
  • Oneonta, AL
  • NPI 1184967523
  Care Compare affiliation
• St. Vincent'S St. Clair, LLC

  • General Acute Care Hospital
  • Pell City, AL
  • NPI 1992809305
  Care Compare affiliation

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1235588476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BURTON HILLS BLVD",
            "address_2": "STE 175",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372156403",
            "telephone_number": "615-988-2014",
            "fax_number": "615-208-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 NW 57TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054486",
            "telephone_number": "352-376-8211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "380 Woods Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682428",
            "country_code": "US",
            "telephone_number": "256-259-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1912 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DOMINIQUE",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.38116",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TRN23732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew William Thompson, DO
• Ashleigh Thompson
• Ashley Nicole Thompson, ARNP
• Brian S Thompson, PA-C
• Daniela Teodora Thompson, PTA
• Eboni Shavonn Thompson, BT
• Eric Thompson, AP
• Grace Thompson
• Gregory Thompson, PA
• Inez Loretta Thompson

• Family Medicine Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.