Individual provider Active NPI

Thomas Thompson, PA

  • Physician Assistant
  • Inverness, FL
National Provider Identifier
1467665349
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9104121 Issued in FL
Practice address
1907 Highway 44 W
Inverness, FL 34453-3801
Phone
(352) 344-2273
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9104121 FL Primary

Addresses

Primary practice location

1907 Highway 44 W
Inverness, FL 34453-3801

Mailing address

PO Box 2066
Lecanto, FL 34460-2066
Phone (352) 563-0931

Other identifiers 1

IdentifierTypeStateIssuer
111242700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@quickcaremed.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070829000693 FL Practitioner - Physician Assistant 4082707526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

3600 SW Archer Rd
Suite a 1
Gainesville, FL 32608-2421
Phone (352) 240-6048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Avecina Medical, PA CurrentSince Nov 20, 2025 Accepting new patients
Avecina Medical PA CurrentSince Nov 20, 2025 Accepting new patients

Locations

3600 SW Archer Rd
Ste A-1
Gainesville, FL 32608
Phone (352) 240-6048

4815 Sweetgrass Pl
Unit 201
Jacksonville, FL 32224
Phone (904) 367-3372

1633 Race Track Rd
Ste 1
Jacksonville, FL 32259
Phone (904) 230-6988

9580 Applecross Rd
Ste 106
Jacksonville, FL 32222
Phone (904) 778-9180

1633 Race Track Rd
Ste 101
St Johns, FL 32259
Phone (904) 230-6988

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 3

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1467665349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344602066",
            "telephone_number": "352-563-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 HIGHWAY 44 W",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533801",
            "telephone_number": "352-344-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9104121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111242700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@quickcaremed.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1907 Highway 44 W",
            "city": "Inverness",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344533801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.