Edward Eugene Thompson, M.S.CCCA

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A0025 Issued in MS

Practice address

310 Marion Ave
McComb, MS 39648-2708

Phone

(601) 249-3254

Fax

(601) 249-3957

NPI assigned

Sep 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• William K. Austin Southwest Speech and Hearing Center

  • Audiologist
  • McComb, MS
  • NPI 1508299017
  NPD (past) Authorized official
• Southwest Mississippi Hearing Center

  • Audiologist
  • McComb, MS
  • NPI 1053587105
  NPD (past)

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518069012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482708",
            "telephone_number": "601-249-3254",
            "fax_number": "601-249-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482708",
            "telephone_number": "601-249-3254",
            "fax_number": "601-249-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EDWARD",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "M.S.CCCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A0025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00075016",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Thomas
• Jenifer Thomas
• Rheta Michelle Thomas, CFNP
• Robin Thomas, LPC
• Tomora Thomas, LSW
• Iola Thompson
• Jawanna Thompson
• Pamela Luke Thompson, RPH
• Shanna Thompson, PCMHT
• Shelbi Thompson

• Audiologist in McComb, MS
• Providers in McComb, MS by specialty
• Audiologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.