Active NPI
Jeffery W Thompson, PHD
- In Home Supportive Care Agency
- Dayton, TN
National Provider Identifier
1366065575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- L000000026358
- Practice address
- 215 Dayton Mountain Hwy
Dayton, TN 37321-1047 - Phone
- (423) 428-9291
- Fax
- (423) 428-9291
- NPI assigned
- May 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| In Home Supportive Care Agency | 253Z00000X | L000000026358 | TN | Primary |
Addresses
Primary practice location
215 Dayton Mountain Hwy
Dayton, TN 37321-1047
Mailing address
215 Dayton Mountain Hwy
Dayton, TN 37321-1047
Phone (423) 428-9291
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L000000026358 | TN | MD | In Home Supportive Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Home Care | In Home Supportive Care | Past | Accepting new patients |
Organizations & group practices 1
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": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1366065575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 DAYTON MOUNTAIN HWY",
"city": "DAYTON",
"state": "TN",
"postal_code": "373211047",
"telephone_number": "423-428-9291",
"fax_number": "423-428-9281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 DAYTON MOUNTAIN HWY",
"city": "DAYTON",
"state": "TN",
"postal_code": "373211047",
"telephone_number": "423-428-9291",
"fax_number": "423-428-9291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "JEFFERY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-21",
"last_updated": "2022-10-18",
"certification_date": "2022-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TN",
"license": "L000000026358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.