Individual provider Active NPI

Amy Thompson, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1306288485
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103675 Issued in NC
Practice address
2600 E 7TH St Unit a
Charlotte, NC 28204-4398
Phone
(704) 998-0840
Fax
(043) 762-2167
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MPA4986PA SC
Physician Assistant 363A00000X 103675 NC Primary

Addresses

Primary practice location

2600 E 7TH St Unit a
Charlotte, NC 28204-4398

Mailing address

PO Box 63376
Charlotte, NC 28263-3851
Phone (704) 372-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160310000864 NC Practitioner - Physician Assistant 5294031647 Reassigns benefits to 1 organization
I20231212000915 SC Practitioner - Physician Assistant 5294031647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Asthma and Allergy Center PAGroup PAC ID 0345144341, 33 clinicians

Practice addresses (Care Compare)

8401 Univeristy Blvd
Suite 128
Charlotte, NC 28262-1358
Phone (704) 503-1521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4986SCMDProfessional Counselor
103675NCMDPhysician Assistant
MPA4986PASCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: amy.thompson.p1@direct.caac.nextgenshare.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1306288485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63376",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633851",
            "telephone_number": "704-372-7900",
            "fax_number": "704-376-2216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E 7TH ST UNIT A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282044398",
            "telephone_number": "704-998-0840",
            "fax_number": "043-762-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AMY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "MPA4986PA",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.