Individual provider Active NPI

Johnathan H Thompson, D.O.

  • Orthopaedic Trauma Physician
  • Lakeland, FL
National Provider Identifier
1356621130
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
OS15270 Issued in FL
Practice address
1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone
(863) 687-1321
Fax
(863) 284-1786
NPI assigned
Aug 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Trauma PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0801X 78645 GA
Orthopaedic Trauma Physician 207XX0801X OT015575 PA
General Practice Physician 208D00000X UO2822 FL
Orthopaedic Trauma Physician 207XX0801X OS15270 FL Primary

Addresses

Primary practice location

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543

Mailing address

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1100

Other practice location 1

4 Live Oak Ct
Moultrie, GA 31768-6783
Phone (229) 502-9730

Other practice location 2

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Other identifiers 1

IdentifierTypeStateIssuer
024956000MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jthompson18403@LRHS.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA, FL, SD, MS5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20131025000600 TN Practitioner - General Practice 8820223902 Reassigns benefits to 1 organization
I20171031003452 GA Practitioner - Orthopedic Surgery 8820223902 Reassigns benefits to 1 organization
I20181127002572 FL Practitioner - Orthopedic Surgery 8820223902 Reassigns benefits to 2 organizations
I20210504002667 SD Practitioner - Orthopedic Surgery 8820223902 Reassigns benefits to 1 organization
I20220420002643 MS Practitioner - Osteopathic Manipulative Medicine 8820223902 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartan Orthopaedics, LLCGroup PAC ID 4880778786, 9 clinicians

Practice addresses (Care Compare)

206 Oxford Rd
New Albany, MS 38652-3115
Phone (662) 534-2227

Hospital & facility affiliations

  • Baptist Home Care and Hospice North Mississippi Home health agency, Batesville, MS, CCN 257114
  • Vitalcaring Group Home health agency, Cleveland, MS, CCN 257016
  • Centerwell Home Health Home health agency, Tupelo, MS, CCN 257303
  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Baptist Memorial Hospital Union County Hospital, New Albany, MS, CCN 250006
  • Baptist Memorial Hospital Booneville Hospital, Booneville, MS, CCN 250044

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
82.18
Promoting interoperability
92
Improvement activities
40
Cost
74.55

Merit-based Incentive Payment System (MIPS)

Final score
88.54 of 100Reported as individual
Quality
80.97
Promoting interoperability
97
Improvement activities
40
Cost
68.99

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement40
Knee replacement17
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15270FLMDOrthopaedic Trauma Physician
78645GAMDOrthopaedic Trauma Physician
OT015575PAMDOrthopaedic Trauma Physician
UO2822FLMDGeneral Practice Physician
2424TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery of South Dakota PC Single Specialty CurrentSince May 13, 2021 Accepting new patients
Lakeland Regional Health Systems, Inc. Single Specialty CurrentSince May 1, 2021 Accepting new patients
Sacred Heart Health System, Inc. Single Specialty Current Accepting new patients
Orthoxpress Holdings, LLC Single Specialty CurrentSince Oct 11, 2022 Accepting new patients
DX Mso, PLLC Single Specialty CurrentSince Aug 30, 2013 Accepting new patients
Ortho Express Holding Company, LLC CurrentSince May 1, 2022 Accepting new patients
Spartan Orthopaedics, LLC Single Specialty CurrentSince May 1, 2022 Accepting new patients
Thompson Orthopaedics, LLC Single Specialty Current Accepting new patients
Ortho Express Holding Company, LLC CurrentSince Oct 11, 2022 Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Single Specialty Past Accepting new patients
Acute Care Surgical Affiliates of Texas PA Single Specialty Past Accepting new patients
Ortho Express Holding Company LLC General Practice Past Accepting new patients

Locations

4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

273 Whaley Dr
#B
Holly Springs, MS 38635
Phone (662) 333-8181

206 Oxford Rd
New Albany, MS 38652
Phone 6625342298223

6518 Goodman Rd
Ste 104
Olive Branch, MS 38654
Phone (662) 420-7350

823 Highway 12 W
Ste C
Starkville, MS 39759
Phone (662) 268-8221

3952C N Gloster St
Tupelo, MS 38804
Phone (662) 350-0737

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

700 E 54th St N
Sioux Falls, SD 57104
Phone (423) 458-1426

170 Mouse Creek Rd NW
Cleveland, TN 37312
Phone (423) 458-1426

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

Interoperability endpoints

  • Direct secure messaging: jthompson511757@direct.bmhcc.org
  • Direct secure messaging: jthompson18403@lrhs.direct-ci.com
  • Direct secure messaging: johnathan.thompson.1@11099.direct.athenahealth.com
  • Direct secure messaging: johnathan.thompson.1@9582.direct.athenahealth.com
  • Direct secure messaging: johnathan.thompson.2@11099.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 6

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": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1356621130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1100",
            "fax_number": "904-450-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338054543",
            "telephone_number": "863-687-1321",
            "fax_number": "863-284-1786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Live Oak Ct",
            "address_purpose": "LOCATION",
            "city": "Moultrie",
            "state": "GA",
            "postal_code": "317686783",
            "country_code": "US",
            "telephone_number": "229-502-9730",
            "fax_number": "229-502-9739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Hickory St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013224",
            "country_code": "US",
            "telephone_number": "321-434-1401",
            "fax_number": "321-434-1667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOHNATHAN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-24",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "GA",
            "license": "78645",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "PA",
            "license": "OT015575",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "UO2822",
            "primary": false
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "OS15270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024956000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jthompson18403@LRHS.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1324 Lakeland Hills Blvd",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338054543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.