Active NPI
Corbett Mark Thigpen, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Augusta, GA
National Provider Identifier
1295785475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 021058
- Practice address
- 3650 J Dewey Gray Cir
Augusta, GA 30909-1867 - Phone
- (706) 863-9797
- Fax
- (706) 868-9209
- NPI assigned
- May 11, 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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 021058 | GA | Primary |
Addresses
Primary practice location
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Mailing address
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00263172A | Medicaid | GA | |
| 026876 | Other | GA | BCBS |
| 0519750 | Other | GA | AETNA |
| 0900126 | Other | GA | UHC |
| G21058 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021058 | GA | MD | Orthopaedic Foot and Ankle Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295785475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 J DEWEY GRAY CIR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091867",
"telephone_number": "706-863-9797",
"fax_number": "706-868-9209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 J DEWEY GRAY CIR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091867",
"telephone_number": "706-863-9797",
"fax_number": "706-868-9209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THIGPEN",
"first_name": "CORBETT",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "GA",
"license": "021058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00263172A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "026876",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0519750",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "0900126",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G21058",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.