Individual provider Active NPI

Aaron Delano Thompson Jr., MD

  • Surgery Physician
  • Conover, NC
National Provider Identifier
1356320071
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
94-01070 Issued in NC
Practice address
711 Fairgrove Church Rd SE Ste 102
Conover, NC 28613-8680
Phone
(828) 322-8485
Fax
(828) 322-5039
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 94-01070 NC Primary

Addresses

Primary practice location

711 Fairgrove Church Rd SE Ste 102
Conover, NC 28613-8680

Mailing address

711 Fairgrove Church Rd SE Ste 102
Conover, NC 28613-8680
Phone (828) 322-8485

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809001087 NC Practitioner - General SurgeryPractitioner - Vascular Surgery 8628101805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Virginia School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

711 Fairgrove Church Rd SE
Suite 102
Conover, NC 28613-8680
Phone (828) 322-8485

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-01070NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Advanced Vein Care PLLC Surgery CurrentSince Sep 1, 2003 Accepting new patients
Livanta Medical Center PastSince Sep 1, 2003 Accepting new patients

Locations

3513 Graystone Pl SE
Conover, NC 28613
Phone (828) 322-8485

711 Fairgrove Church Rd SE
Ste 102
Conover, NC 28613
Phone (828) 322-8485

1899 Tate Blvd SE
#2109
Hickory, NC 28602

1899 Tate Blvd SE
Ste 2109
Hickory, NC 28602

Organizations & group practices 2

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1356320071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 FAIRGROVE CHURCH RD SE STE 102",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138680",
            "telephone_number": "828-322-8485",
            "fax_number": "828-322-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 FAIRGROVE CHURCH RD SE STE 102",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138680",
            "telephone_number": "828-322-8485",
            "fax_number": "828-322-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AARON",
        "middle_name": "DELANO",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "94-01070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

Verify at the official NPI Registry.