Individual provider Active NPI

Jill Ellen Thompson, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Gastonia, NC
National Provider Identifier
1518940790
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
9300608 Issued in NC
Practice address
1574 Union Rd
Gastonia, NC 28054-5633
Phone
(704) 865-9114
Fax
(704) 865-9115
NPI assigned
Nov 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 9300608 NC
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 9300608 NC Primary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X 63046 TN
Interventional Pain Medicine Physician 208VP0014X 9300608 NC

Addresses

Primary practice location

1574 Union Rd
Gastonia, NC 28054-5633

Mailing address

4079 River Birch Dr
Iron Station, NC 28080-8508
Phone (704) 689-8714

Other practice location 1

850 W 3rd North St
Morristown, TN 37814-3896
Phone (888) 859-8767

Other identifiers 2

IdentifierTypeStateIssuer
N0060AMedicaidSC
8983308MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061214000535 NC Practitioner - Diagnostic RadiologyPractitioner - Interventional Pain ManagementPractitioner - Pain ManagementPractitioner - Interventional Radiology 4981603206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
63046TNMDAddiction Medicine (Preventive Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gaston Radiology PA PastSince Nov 1, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: neurodiagnostics.jillthompson@127799.advancedmd-direct.com

Organizations & group practices 1

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1518940790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4079 RIVER BIRCH DR",
            "city": "IRON STATION",
            "state": "NC",
            "postal_code": "280808508",
            "telephone_number": "704-689-8714",
            "fax_number": "423-353-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1574 UNION RD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545633",
            "telephone_number": "704-865-9114",
            "fax_number": "704-865-9115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 W 3rd North St",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378143896",
            "country_code": "US",
            "telephone_number": "888-859-8767",
            "fax_number": "423-353-4083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JILL",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-22",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NC",
            "license": "9300608",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NC",
            "license": "9300608",
            "primary": true
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "TN",
            "license": "63046",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "9300608",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N0060A",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8983308",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.