Georgina Angeline Thompson, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN192331 Issued in GA

Practice address

110 Lloyd Ave
Tyrone, GA 30290-2124

Phone

(770) 486-1200

NPI assigned

Jul 30, 2017

Last updated

Jul 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Georgina Angeline Threatt Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allcare Ga PCGroup PAC ID 2668907940, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: georgina.thompson.1@33029.direct.athenahealth.com

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.

• Allcare Ga PC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1972080554
  Medicare reassignment Care Compare group NPD
• Atlanta Primary Care Peachtree, PC

  • Specialist
  • Newnan, GA
  • NPI 1477573293
  NPD (past)
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501372800000",
    "number": "1356865570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 CORN CRIB DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302636073",
            "telephone_number": "407-234-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LLOYD AVE",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902124",
            "telephone_number": "770-486-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GEORGINA",
        "middle_name": "ANGELINE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-30",
        "last_updated": "2017-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN192331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGINA",
            "last_name": "THREATT",
            "middle_name": "ANGELINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Christine Taylor, CNM
• Shantel Terry
• Thomas Eye Group PC (Thomas Eye Group)
• Thomas Eye Surgery Center of Fayette
• Savannah Claire Thomley
• Deandrea Thornton Jr., CSCS
• Kyla Thrasher, CCC-SLP
• Kelly Jane Tipton, MD
• Diana Tonoukouin, DDS
• Jon Toudt, RBT

• Family Nurse Practitioner in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.