Vanessa Thompson, PMHNP-GNP-BC
Individual provider Active NPI Gerontology Nurse Practitioner · Spartanburg, SC
NPI 1508839739 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1508839739
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 54104 (SC)
- Practice address
- 269 South Church Street
Unit 213
Spartanburg, SC 29306-3412 - Phone
- (864) 216-3868
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
269 S Church St
Suite 213
Spartanburg, SC 29306-3412
Phone (864) 625-1001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060406000489 | SC | Practitioner - Nurse Practitioner | 0244249001 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 990 | SC | MD | Pediatrics Physician |
| 54104 | SC | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current |
Accepting new patients | |
| Spartanburg Medical Center | Current |
Accepting new patients | |
| Che Behavioral Health Services of South Carolina, P.C. | Current |
Accepting new patients | |
| Mental Fitness Consultants, LLC | Current |
Accepting new patients |
Locations
101 Hospital Dr
Columbus, NC 28722
Phone (828) 894-3311
220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414
2755 S Highway 14
Ste 1200D
Greer, SC 29650
Phone (864) 849-9333
300 John St
Ste 5B
Greer, SC 29651
Phone (864) 216-3868
475 Heywood Ave
Spartanburg, SC 29307
Phone (864) 699-5020
391 Serpentine Dr
Ste 400
Spartanburg, SC 29303
Phone (864) 560-7517
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
391 Serpentine Dr
Ste 400A
Spartanburg, SC 29303
Phone (864) 560-7517
101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554
269 S Church St
Ste 213
Spartanburg, SC 29306
Phone (864) 216-3868
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Interoperability endpoints
- vthompson37005@direct-srhs.et0939.epichosted.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 54104 | SC | Yes |
Addresses
Primary practice location
269 South Church Street
Unit 213
Spartanburg, SC 29306-3412
Mailing address
PO Box 128
Inman, SC 29349-0128
Phone (864) 216-3868
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP0982 | Medicaid | SC | |
| 7004135 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vthompson37005@direct-srhs.et0939.epichosted.com | Direct |
Other providers in Spartanburg, SC
- Prarie Thompson
- Sterling Washington Thompson
- Sydney Gregory Thompson
- Tanna Thompson
- Travis Thompson
- Angela Marie Thomson
- Molly Marie Thornburg
- Amy Poteat Thornton
- Brian Caldwell Thurston
- Jordanna Tillinghast
All providers in Spartanburg, SC · Gerontology Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.