Individual provider Active NPI

Nadine Tracy Ann Thompson-Carlton, M.D.

  • Emergency Medicine Physician
  • Blacksburg, VA
National Provider Identifier
1376839415
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101254906 Issued in VA
Practice address
3700 S Main St
Blacksburg, VA 24060-7017
Phone
(757) 414-8777
NPI assigned
Jun 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101254906 VA Primary

Addresses

Primary practice location

3700 S Main St
Blacksburg, VA 24060-7017

Mailing address

9507 Hospital Drive
Nassawadox, VA 23413-0017
Phone (757) 414-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC, SC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20140318001944 VA Practitioner - Emergency Medicine 7214168160 Reassigns benefits to 2 organizations
I20160309000640 NC Practitioner - Emergency Medicine 7214168160 Reassigns benefits to 3 organizations
I20161219001956 SC Practitioner - Emergency Medicine 7214168160 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101254906VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Physician Services Inc CurrentSince Nov 20, 2013 Accepting new patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Riverside Physician Services, Inc. Emergency Medicine CurrentSince Nov 20, 2013 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Oct 1, 2016 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Dec 29, 2015 Accepting new patients
Gastonia Physician Services, PLLC Emergency Medicine CurrentSince Dec 29, 2015 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Feb 1, 2016 Accepting new patients
Williamsburg Emergency Physicians Emergency Medicine CurrentSince May 19, 2018 Accepting new patients
Williamsburg Emergency Physicians Emergency Medicine CurrentSince May 19, 2018 Accepting new patients
Riverside Physician Services Inc Emergency Medicine Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

7519 Hospital Dr
Gloucester, VA 23061
Phone (804) 693-8800

704 Thimble Shoals Blvd
Ste 200
Newport News, VA 23606
Phone (757) 240-5580

1500 Commonwealth Ave
Williamsburg, VA 23185
Phone (757) 585-2200

100 Sentara Cir
Williamsburg, VA 23188
Phone (678) 690-7826

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 11

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1376839415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9507 HOSPITAL DRIVE",
            "city": "NASSAWADOX",
            "state": "VA",
            "postal_code": "234130017",
            "telephone_number": "757-414-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 S MAIN ST",
            "city": "BLACKSBURG",
            "state": "VA",
            "postal_code": "240607017",
            "telephone_number": "757-414-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON-CARLTON",
        "first_name": "NADINE",
        "middle_name": "TRACY ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101254906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blacksburg, VA

Sources for this page

Verify at the official NPI Registry.