Active NPI
Tab Eugene Thompson, M.D.
- Otology & Neurotology Physician
- Columbia, SC
National Provider Identifier
1245304468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otology & Neurotology Physician
- License
- 17159
- Practice address
- 2801 Devine St Ste 101
Columbia, SC 29205-2511 - Phone
- (803) 256-7076
- Fax
- (803) 256-0961
- NPI assigned
- Nov 20, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otology & Neurotology Physician | 207YX0901X | 17159 | SC | Primary |
Addresses
Primary practice location
2801 Devine St Ste 101
Columbia, SC 29205-2511
Mailing address
2801 Devine St Ste 101
Columbia, SC 29205-2511
Phone (803) 256-7076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120120000002 | SC | Practitioner - Otolaryngology | 9931395506 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Medical University of South Carolina College of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2295 Henry Tecklenburg Dr
Charleston, SC 29414-7801
Phone (843) 766-7103
Hospital & facility affiliations
- Musc Health Columbia Medical Center Downtown
- Lexington Medical Center
- Prisma Health Richland Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.33 of 100
- Quality
- 86.06
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17159 | SC | MD | Otology & Neurotology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charleston ENT Associates, LLC | Otology & Neurotology | Current | Accepting new patients |
| Charleston ENT Associates, LLC | Current | Accepting new patients | |
| Charleston ENT Associates, LLC | Past | Accepting new patients |
Locations
2295 Henry Tecklenburg Dr
Charleston, SC 29414
1849 Savage Rd
Charleston, SC 29407
Phone (843) 576-2600
2801 Devine St
Ste 101
Columbia, SC 29205
Phone (803) 256-7076
3115 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-3222
Interoperability endpoints
- tthompson@penat-sc.direct.office.nextgen.com
- tab.thompson.p1@direct.entap.nextgenshare.com
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Charleston, SC
- NPI 1588607303
Otology & Neurotology, SC
-
- Ambulatory Surgical Clinic/Center
- Charleston, SC
- NPI 1124026422
-
- Otolaryngology Physician
- West Columbia, SC
- NPI 1497425763
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1285200105
Hospital
-
- General Acute Care Hospital
- Columbia, SC
- NPI 1558937474
Hospital
-
- Urgent Care Clinic/Center
- Columbia, SC
- NPI 1578402764
Hospital
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, SC
- NPI 1962471946
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522281600000",
"number": "1245304468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 DEVINE ST STE 101",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292052511",
"telephone_number": "803-256-7076",
"fax_number": "803-256-0961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 DEVINE ST STE 101",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292052511",
"telephone_number": "803-256-7076",
"fax_number": "803-256-0961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TAB",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2018-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0901X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otology & Neurotology",
"state": "SC",
"license": "17159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.