Andrew William Thompson, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0102208697 Issued in VA

Practice address

1149 Newell Dr L4-100
Gainesville, FL 32611-0001

Phone

(352) 294-4945

NPI assigned

Apr 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• MCV Associated Physicians

  dba MCV Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457

  Psychiatry

  Medicare reassignment NPD

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1265095962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100256 1149 NEWELL DR L4-100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326110001",
            "telephone_number": "352-294-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 NEWELL DR L4-100",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326110001",
            "telephone_number": "352-294-4945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985025",
            "country_code": "US",
            "telephone_number": "804-628-9346",
            "fax_number": "804-628-1236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1308 Sherwood Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232201210",
            "country_code": "US",
            "telephone_number": "804-828-3129",
            "fax_number": "804-628-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102208697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tykora Thomas
• Zalanya Rokiya Thomas
• Loretta Thompkins, LCSW
• Thompson Physical Therapy, PLLC
• Alyssa Brynne Thompson
• Ashleigh Thompson
• Ashley Nicole Thompson, ARNP
• Brian S Thompson, PA-C
• Daniela Teodora Thompson, PTA
• Dominique Michelle Thompson, MD

• Psychiatry Physician in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.