Individual provider Active NPI

Cynthia Cockrell Thompson, ACNP

  • Adult Health Nurse Practitioner
  • Columbia, SC
National Provider Identifier
1437138419
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2035 Issued in SC
Practice address
1333 Taylor St
Columbia, SC 29201-2953
Phone
(803) 256-0464
Fax
(803) 254-5121
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X APN2035 SC
Nurse Practitioner 363L00000X 2035 SC
Adult Health Nurse Practitioner 363LA2200X 2035 SC Primary

Addresses

Primary practice location

1333 Taylor St
Columbia, SC 29201-2953

Mailing address

470 Hulon LN
West Columbia, SC 29169-4841
Phone (803) 256-0464

Other practice location 1

720 Rabon Rd
Columbia, SC 29203-8900
Phone (803) 936-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20060221000307 SC Practitioner - Nurse Practitioner 7113932609 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Carolina School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 Faison Dr
Columbia, SC 29203-3210
Phone (803) 898-8415

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2035SCMDRegistered Dietitian
APN2035SCMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 19, 2019 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Lexington Health Inc Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 19, 2019 Accepting new patients
Lexington Health Inc Pulmonary Disease CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

720 Rabon Rd
Columbia, SC 29203
Phone (803) 462-0423

220 Faison Dr
Columbia, SC 29203
Phone (803) 898-1662

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

2728 Sunset Blvd
Ste 402
West Columbia, SC 29169
Phone (803) 791-2598

2728 Sunset Blvd
Ste 104
West Columbia, SC 29169
Phone (803) 791-2683

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1437138419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LN",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694841",
            "telephone_number": "803-256-0464",
            "fax_number": "803-254-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012953",
            "telephone_number": "803-256-0464",
            "fax_number": "803-254-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Rabon Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292038900",
            "country_code": "US",
            "telephone_number": "803-936-8900",
            "fax_number": "803-935-8667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CYNTHIA",
        "middle_name": "COCKRELL",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "SC",
            "license": "APN2035",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "2035",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "SC",
            "license": "2035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.