Individual provider Active NPI

Charles R Thompson, M.D.

  • Internal Medicine Physician
  • Milton, FL
National Provider Identifier
1295863322
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 53590 Issued in FL
Practice address
6510 Caroline St
Milton, FL 32570-4778
Phone
(850) 983-8500
Fax
(844) 388-6186
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 53590 FL Primary

Addresses

Primary practice location

6510 Caroline St
Milton, FL 32570-4778

Mailing address

601 S Harbour Island Blvd Ste 200
Tampa, FL 33602-5925
Phone (800) 480-5243

Other practice location 1

5706 N 9th Ave
Suite A-3
Pensacola, FL 32504
Phone (850) 476-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110725000205 FL Practitioner - Internal Medicine 2466620141 Reassigns benefits to 2 organizations
I20200406002011 VI Practitioner - Internal Medicine 2466620141 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Associates LLCGroup PAC ID 0648271155, 162 clinicians

Practice addresses (Care Compare)

6510 Caroline St
Milton, FL 32570-4778
Phone (850) 783-4611

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 53590FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Associates LLC CurrentSince Dec 5, 2022 Accepting new patients
Southeast Association of Healthcare Providers Inc CurrentSince Nov 1, 2015 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Mar 29, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Mar 29, 2020 Accepting new patients
Vipcare Dental PLLC PastSince Nov 27, 2022 Accepting new patients
The Center for Patient Care Inc Past Accepting new patients

Locations

13940 N US Highway 441
Ste 102
Lady Lake, FL 32159
Phone (352) 509-9900

6510 Caroline St
Milton, FL 32570
Phone (850) 783-4611

5330 N Davis Hwy
Pensacola, FL 32503
Phone (850) 469-2319

601 S Harbour Island Blvd
Ste 200
Tampa, FL 33602
Phone (727) 322-3439

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: charles.thompson.1@24790.direct.athenahealth.com
  • Direct secure messaging: charles.thompson@sl.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1295863322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S HARBOUR ISLAND BLVD STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025925",
            "telephone_number": "800-480-5243",
            "fax_number": "800-928-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 CAROLINE ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704778",
            "telephone_number": "850-983-8500",
            "fax_number": "844-388-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5706 N 9th Ave",
            "address_2": "Suite A-3",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "32504",
            "country_code": "US",
            "telephone_number": "850-476-8200",
            "fax_number": "850-476-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 53590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.