Individual provider Active NPI

Bridget Nicole Thompson, PA

  • Physician Assistant
  • Ellerbe, NC
National Provider Identifier
1346559911
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02545 Issued in NC
Practice address
112 E Ballard St
Ellerbe, NC 28338-9730
Phone
(910) 652-2663
Fax
(910) 652-3150
NPI assigned
Sep 30, 2010
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02545 NC Primary

Addresses

Primary practice location

112 E Ballard St
Ellerbe, NC 28338-9730

Mailing address

112 E Ballard St
Ellerbe, NC 28338-9730
Phone (910) 817-4060

Other identifiers 1

IdentifierTypeStateIssuer
1346559911MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20101117001107 NC Practitioner - Physician Assistant 1658566534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

112 E Ballard St
Ellerbe, NC 28338-9730
Phone (910) 652-2663

7473-B Hwy 22
Whispering Pines, NC 28327
Phone (910) 215-5115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
79.14
Promoting interoperability
92
Improvement activities
40
Cost
80.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FHPG, LLC Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Nov 1, 2015 Accepting new patients
FHPG, LLC Family Medicine Past Accepting new patients

Locations

112 E Ballard St
Ellerbe, NC 28338
Phone (910) 652-2663

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

Interoperability endpoints

  • Direct secure messaging: bthompson17446@firsthealth.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1285804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1346559911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 E BALLARD ST",
            "city": "ELLERBE",
            "state": "NC",
            "postal_code": "283389730",
            "telephone_number": "910-817-4060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 E BALLARD ST",
            "city": "ELLERBE",
            "state": "NC",
            "postal_code": "283389730",
            "telephone_number": "910-652-2663",
            "fax_number": "910-652-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "BRIDGET",
        "middle_name": "NICOLE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-30",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1346559911",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellerbe, NC

Sources for this page

Verify at the official NPI Registry.