Active NPI
Asia Thompson
- Psychiatric/Mental Health Nurse Practitioner
- Douglasville, GA
National Provider Identifier
1336028109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 214664
- Practice address
- 6595 Wansfell CT
Douglasville, GA 30135-6110 - Phone
- (678) 791-5063
- NPI assigned
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 214664 | GA | Primary |
Addresses
Primary practice location
6595 Wansfell CT
Douglasville, GA 30135-6110
Mailing address
6595 Wansfell CT
Douglasville, GA 30135-6110
Phone (678) 791-5063
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214664 | GA | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1336028109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6595 WANSFELL CT",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301356110",
"telephone_number": "678-791-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6595 WANSFELL CT",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301356110",
"telephone_number": "678-791-5063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ASIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "GA",
"license": "214664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.