Organization Active NPI

Carolyn C. Thompson, M.D. ; PC

  • Obstetrics & Gynecology Physician
  • Hermitage, TN
National Provider Identifier
1255502183
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000029044 Issued in TN
Legal business name
CAROLYN C. THOMPSON, M.D. ; PC
Practice address
5651 Frist Blvd Ste 505
Hermitage, TN 37076-2059
Phone
(615) 874-1016
Fax
(615) 874-9925
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Colleen Brooks
Title
Business Manager
Phone
(615) 874-1016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD0000029044 TN Primary

Addresses

Primary practice location

5651 Frist Blvd Ste 505
Hermitage, TN 37076-2059

Mailing address

5651 Frist Blvd Ste 505
Hermitage, TN 37076-2059
Phone (615) 874-1016

Other identifiers 1

IdentifierTypeStateIssuer
3133696OtherTNBCBST

National Provider Directory

National Provider Directory

Locations

5651 Frist Blvd
Ste 505
Hermitage, TN 37076
Phone (615) 874-1016

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12386/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1255502183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 505",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762059",
            "telephone_number": "615-874-1016",
            "fax_number": "615-874-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 FRIST BLVD STE 505",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762059",
            "telephone_number": "615-874-1016",
            "fax_number": "615-874-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN C. THOMPSON, M.D. ; PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "615-874-1016"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000029044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "3133696",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.