Individual provider Active NPI

Kathy J Thompkins, APRN

  • Family Nurse Practitioner
  • Mullins, SC
National Provider Identifier
1295921591
Registry record updated Apr 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3342 Issued in SC
Practice address
1002 S Main St
Mullins, SC 29574-3920
Phone
(843) 464-8205
Fax
(843) 464-8206
NPI assigned
Sep 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3342 SC Primary

Addresses

Primary practice location

1002 S Main St
Mullins, SC 29574-3920

Mailing address

1002 S Main St
Mullins, SC 29574-3920
Phone (843) 464-8205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090128000426 SC Practitioner - Nurse Practitioner 8729142237 Reassigns benefits to 1 organization
Practice locations: Mullins, SC

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1002 S Main St
Mullins, SC 29574-3920
Phone (843) 464-8205

Hospital & facility affiliations

  • Musc Health Marion Medical Center Hospital, Mullins, SC, CCN 420055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3342SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 1, 2008 Accepting new patients
Palmetto Medical Care LLC CurrentSince Sep 23, 2010 Accepting new patients
McLeod Regional Medical Center of the Pee Dee, Inc CurrentSince Dec 1, 2008 Accepting new patients
Physicians Healthcare of Dillon Past Accepting new patients
Pee Dee Emergency Physicians Past Accepting new patients

Locations

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

1002 S Main St
Mullins, SC 29574
Phone (843) 245-0613

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Palmetto Medical Care LLCMullins, SC, CCN 423878 Rural health clinic 5% Or Greater Direct Ownership Interest Sep 23, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 1

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": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1295921591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743920",
            "telephone_number": "843-464-8205",
            "fax_number": "843-464-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 S MAIN ST",
            "city": "MULLINS",
            "state": "SC",
            "postal_code": "295743920",
            "telephone_number": "843-464-8205",
            "fax_number": "843-464-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPKINS",
        "first_name": "KATHY",
        "middle_name": "J",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "3342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mullins, SC

Sources for this page

Verify at the official NPI Registry.