Elizabeth Delores Thompson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

008556 Issued in GA

Practice address

301 Margie Dr
Warner Robins, GA 31088-7818

Phone

(478) 971-1153

Fax

(478) 971-1171

NPI assigned

Aug 31, 2017

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

• Elizabeth Delores Brooks 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

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia Neurosurgical Institute, P.CGroup PAC ID 7517958234, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elizabeth.thompson.1@4291.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 and National Provider Directory roles.

• Georgia Neurosurgical Institute, P.C.

  • Neurological Surgery Physician
  • Macon, GA
  • NPI 1972558336
  Medicare reassignment Care Compare group
• Macon Orthopaedic & Hand Center, PA

  • Orthopaedic Surgery Physician
  • Macon, GA
  • NPI 1356489850

  Physician Assistant

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1396263125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 PINE ST STE 880",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312017525",
            "telephone_number": "478-743-7092",
            "fax_number": "478-743-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARGIE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310887818",
            "telephone_number": "478-971-1153",
            "fax_number": "478-971-1171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "840 Pine St Ste 880",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "31201",
            "country_code": "US",
            "telephone_number": "478-743-7092",
            "fax_number": "478-743-6293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELIZABETH",
        "middle_name": "DELORES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "008556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BROOKS",
            "middle_name": "DELORES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Krystal Thomas
• Wendy Thomas, LPN
• Zy'Azjah Thomas
• Audrey Thompson
• Bobby D Thompson, MD
• Jessica Thompson, OTR/L
• Kimberly Thrower
• Rex Wallace Tidwell, M.D.
• Jamie Eileen Tillit, LPC
• TLB Residential Treatment Services, Inc.

• Physician Assistant in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.