Keith P Thompson, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

031339 Issued in GA

Practice address

5582 Memorial Dr Ste 200
Stone Mountain, GA 30083-3215

Phone

(404) 513-9965

NPI assigned

Aug 3, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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 1

Specialty

Ophthalmology

Education

Southwestern Homeopathic Medical College and Hospital, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Carlin MD PCGroup PAC ID 4183693641, 10 clinicians

Medcura Health, IncGroup PAC ID 2961443643, 15 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16100/brand/1/csg/1/fhir/r4
• Direct secure messaging: keith.thompson.1@9679.direct.athenahealth.com
• Direct secure messaging: keith.thompson.2@9679.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Richard Carlin MD PC

  • Specialist
  • Snellville, GA
  • NPI 1538364815

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Digital Vision Optical LLC

  • Optometrist
  • Stone Mountain, GA
  • NPI 1225793250

  Ophthalmology

  NPD Authorized official
• Digital Vision Group

  • Ophthalmology Physician
  • Stone Mountain, GA
  • NPI 1104348267
  Authorized official Same address or phone
• Keith P. Thompson MD PC

  • Ophthalmologic Surgery Clinic/Center
  • Atlanta, GA
  • NPI 1770808420

  Single Specialty

  NPD (past) Authorized official
• Vision Correction Group

  dba InView

  • Corneal and Contact Management Optometrist
  • Atlanta, GA
  • NPI 1558468744
  NPD (past) Authorized official
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1255779468
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245248590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 TOWN COMMONS CIR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191160",
            "telephone_number": "404-513-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5582 MEMORIAL DR STE 200",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833215",
            "telephone_number": "404-513-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KEITH",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "031339",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "031339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10636649",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastasia M Thomas, D.P.M.
• Cyntheress N Thomas, ICS, HHA
• Edmund Thomas Jr.
• Samirah Thomas
• Sonya Thomas, RN, LCSW
• Miriam Thompson, LPN
• Samelhia Marie Thompson, LPC
• Stephen Lewis Thompson, CSA
• Tina-Ann Kerr Thompson, M.D.
• Sheme Thorns

• Ophthalmology Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.