Active NPI
Doris Comer Thompson, LPC
- Professional Counselor
- Milledgeville, GA
National Provider Identifier
1356604979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 005195
- Practice address
- Park 60 Highway 22 West
Milledgeville, GA 31061 - Phone
- (478) 803-7631
- Fax
- (478) 751-4530
- NPI assigned
- Jun 19, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 005195 | GA | Primary |
Addresses
Primary practice location
Park 60 Highway 22 West
Milledgeville, GA 31061
Mailing address
175 Emery Hwy
Macon, GA 31217-3692
Phone (478) 803-7631
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC005195 | Other | GA | LPC |
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 |
|---|---|---|---|
| 005195 | GA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340064000000",
"number": "1356604979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 EMERY HWY",
"city": "MACON",
"state": "GA",
"postal_code": "312173692",
"telephone_number": "478-803-7631",
"fax_number": "478-751-4530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARK 60 HIGHWAY 22 WEST",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "31061",
"telephone_number": "478-803-7631",
"fax_number": "478-751-4530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "DORIS",
"middle_name": "COMER",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2012-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "005195",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "LPC005195",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milledgeville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.