Individual provider Active NPI

Jason R Thompson, MD

  • Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
  • Jacksonville, FL
National Provider Identifier
1306916580
Registry record updated Aug 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X
License
ME72049 Issued in FL
Practice address
6885 Belfort Oaks Place Ste 210
Jacksonville, FL 32216
Phone
(904) 652-0373
Fax
(904) 652-0378
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME 72049 FL
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician 207VF0040X ME72049 FL Primary

Addresses

Primary practice location

6885 Belfort Oaks Place Ste 210
Jacksonville, FL 32216

Mailing address

6885 Belfort Oaks Place Ste 210
Jacksonville, FL 32216
Phone (904) 652-0373

Other identifiers 1

IdentifierTypeStateIssuer
261828100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041018001120 FL Practitioner - Obstetrics/Gynecology 3476513201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
FWC Urogynecology LLCGroup PAC ID 8022276542, 16 clinicians

Practice addresses (Care Compare)

6885 Belfort Oaks PL
Suite 110
Jacksonville, FL 32216-6281
Phone (904) 652-0373

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Jacksonville, FL, CCN 108148
  • Ascension St Vincent'S Southside Hospital, Jacksonville, FL, CCN 100307
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088
  • Shands Jacksonville Hospital, Jacksonville, FL, CCN 100001

Merit-based Incentive Payment System (MIPS)

Final score
80.1 of 100Reported as individual
Quality
63.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 72049FLMDObstetrics & Gynecology Physician
ME72049FLMDFemale Pelvic Medicine and Reconstructive Surgery (Obstetrics & Gynecology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Nov 12, 2023 Accepting new patients
FWC Urogynecology, LLC Urogynecology and Reconstructive Pelvic Surgery CurrentSince Jan 21, 2014 Accepting new patients
Florida Urogynecology and Reconstructive Pelvic Surgery PA PastSince Mar 24, 2004 Accepting new patients
Womencare PA Past Accepting new patients

Locations

5323 4th Avenue Cir E
Bradenton, FL 34208
Phone (941) 745-5115

6885 Belfort Oaks Pl
Ste 110
Jacksonville, FL 32216
Phone (904) 652-0373

6885 Belfort Oaks Pl
Ste 210
Jacksonville, FL 32216
Phone (904) 652-0373

3000 Hunters Creek Blvd
Orlando, FL 32837
Phone (407) 337-8814

32801 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 724-1966

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2183/brand/21/csg/1/fhir/r4
  • Direct secure messaging: jason.thompson.1@2183.direct.athenahealth.com

Organizations & group practices 4

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 7

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1306916580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6885 BELFORT OAKS PLACE STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-652-0373",
            "fax_number": "904-652-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6885 BELFORT OAKS PLACE STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32216",
            "telephone_number": "904-652-0373",
            "fax_number": "904-652-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JASON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 72049",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME72049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261828100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.