Active NPI
Kathy J Thompkins, APRN
- Family Nurse Practitioner
- Mullins, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3342
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3342 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | Accepting new patients | |
| Palmetto Medical Care LLC | Current | Accepting new patients | |
| McLeod Regional Medical Center of the Pee Dee, Inc | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Palmetto Medical Care LLC | 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.
-
- Rural Health Clinic/Center
- Mullins, SC
- NPI 1194033381
5% Or Greater Direct Ownership Interest
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Florence, SC
- NPI 1154371433
SC
-
- Rural Health Clinic/Center
- Mullins, SC
- NPI 1194033381
-
- Community/Retail Pharmacy
- Florence, SC
- NPI 1871775841
-
- Emergency Medicine Physician
- Hartsville, SC
- NPI 1669667606
-
- Family Medicine Physician
- Dillon, SC
- NPI 1255608113
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mullins, SC
- NPI 1447723945
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.