Georgina Angeline Thompson, NP
Individual provider Active NPI Family Nurse Practitioner · Tyrone, GA
NPI 1356865570 · NPPES record last updated Jul 30, 2017
Key facts
- NPI
- 1356865570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN192331 (GA)
- Practice address
- 110 Lloyd Ave
Tyrone, GA 30290-2124 - Phone
- (770) 486-1200
- NPI assigned
- Jul 30, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allcare Ga PC
Practice addresses (Care Compare)
2900 Peachtree Rd NW
Suite 301
Atlanta, GA 30305-2193
Phone (470) 730-4747
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180713000744 | GA | Practitioner - Nurse Practitioner | 4587910047 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Ga PC | Current |
Accepting new patients | |
| Atlanta Primary Care Peachtree, PC | Past |
Accepting new patients | |
| Capital Healthcare PC | Past | Accepting new patients |
Locations
2900 Peachtree Rd NW
Ste 301
Atlanta, GA 30305
Phone (404) 869-5551
4605 Roswell Rd
Sandy Springs, GA 30342
Phone (678) 509-7462
Interoperability endpoints
- georgina.thompson.1@33029.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN192331 | GA | Yes |
Addresses
Primary practice location
110 Lloyd Ave
Tyrone, GA 30290-2124
Mailing address
75 Corn Crib Dr
Newnan, GA 30263-6073
Phone (407) 234-9932
Other names
- Georgina Angeline Threatt
Other providers in Tyrone, GA
- Christine Taylor
- Shantel Terry
- Thomas Eye Group PC
- Thomas Eye Surgery Center of Fayette
- Savannah Claire Thomley
- Deandrea Thornton Jr.
- Kyla Thrasher
- Kelly Jane Tipton
- Diana Tonoukouin
- Jon Toudt
All providers in Tyrone, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.