NPIMap

Individual provider Active NPI

Paul W Thompson, M.D.

  • Family Medicine Physician
  • Glennville, GA
National Provider Identifier
1265515019
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
054519 Issued in GA
Practice address
601 S Veterans Blvd
Glennville, GA 30427-1775
Phone
(912) 739-0475
Fax
(912) 654-0486
NPI assigned
Oct 23, 2006
Last updated
Jan 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 054519 GA Primary

Addresses

Primary practice location

601 S Veterans Blvd
Glennville, GA 30427-1775

Mailing address

601 S Veterans Blvd
Glennville, GA 30427-1775
Phone (912) 654-0475

Other identifiers 2

IdentifierTypeStateIssuer
612221074FMedicaidGA
P00379312OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040917000775 GA Practitioner - Family Practice 8921076936 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Medical GroupGroup PAC ID 7113828609, 7 clinicians
Thompson Medical Associates LLCGroup PAC ID 7618462201, 3 clinicians

Practice addresses (Care Compare)

601 S Veterans Blvd
Glennville, GA 30427-1775
Phone (912) 739-3354

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
054519GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical Associates, LLC Family Medicine CurrentSince Dec 9, 2025 Accepting new patients
Southern Medical Group Family Medicine CurrentSince Aug 1, 2005 Accepting new patients
SMG-Occupational Health Clinic PastSince May 21, 2023 Accepting new patients

Locations

501 E Long St
Claxton, GA 30417
Phone (912) 739-3354

601 S Veterans Blvd
Glennville, GA 30427
Phone (912) 654-0475

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JEEICD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1265515019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S VETERANS BLVD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304271775",
            "telephone_number": "912-654-0475",
            "fax_number": "912-654-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S VETERANS BLVD",
            "city": "GLENNVILLE",
            "state": "GA",
            "postal_code": "304271775",
            "telephone_number": "912-739-0475",
            "fax_number": "912-654-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "054519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "612221074F",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00379312",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glennville, GA

Sources for this page

Verify at the official NPI Registry.