Matthew Brian Thompson, FNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5006699 Issued in NC

Practice address

195 W Illinois Ave
Southern Pines, NC 28387-5808

Phone

(910) 692-2444

NPI assigned

Jan 13, 2014

Last updated

Apr 16, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scotland Memorial Hospital, IncGroup PAC ID 0648208504, shared by 11 NPIs, 259 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Scotland Memorial Hospital Hospital, Laurinburg, NC, CCN 340008

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Scotland Memorial Hospital Inc

  dba SURGICAL ASSOCIATES of SCOTLAND

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment NPD
• Scotland Memorial Hospital Inc

  dba Marlboro Family Practice and Urgent Care

  • Rural Health Clinic/Center
  • Bennettsville, SC
  • NPI 1770577611
  Medicare reassignment NPD
• Scotland Memorial Hospital, Inc

  dba Carolina's Center For Digestive Health

  • Gastroenterology Physician
  • Laurinburg, NC
  • NPI 1417173899
  NPD
• Harris Family Practice PLLC

  • Family Medicine Physician
  • Laurinburg, NC
  • NPI 1992925978
  NPD (past)
• Sandhills Pediatrics

  • Pediatrics Physician
  • Southern Pines, NC
  • NPI 1114998150
  NPD (past)

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

• Scotland Memorial Hospital Inc

  • General Acute Care Hospital
  • Laurinburg, NC
  • NPI 1457345597
  Care Compare affiliation

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1437571312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W ILLINOIS AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875808",
            "telephone_number": "910-692-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W ILLINOIS AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875808",
            "telephone_number": "910-692-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Campus Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283762650",
            "country_code": "US",
            "telephone_number": "910-692-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Grant St",
            "address_purpose": "LOCATION",
            "city": "West End",
            "state": "NC",
            "postal_code": "273768379",
            "country_code": "US",
            "telephone_number": "910-692-2444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-13",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006699",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5006699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Medical: Concierge Medicine & Aesthetics PLLC
• Brooke Ashley Thomas, DPT
• Gabrielle Thomas
• Hannah Marie Thomas
• Jeremy Michael Thomas, D.P.M.
• Thrive Health & Wellness, Inc.
• David Brennen Throneburg, OD
• John Thomas Tierney, DC
• Karen Tiller, COTA
• Amber Rachelle Tillman, FNP-C

• Pediatric Nurse Practitioner in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2020; 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.