Active NPI
Jill Ellen Thompson, MD
- Addiction Medicine (Preventive Medicine) Physician
- Gastonia, NC
National Provider Identifier
1518940790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- License
- 9300608
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N0060A | Medicaid | SC | |
| 8983308 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061214000535 | NC | Practitioner - Diagnostic 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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63046 | TN | MD | Addiction Medicine (Preventive Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gaston Radiology PA | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Diagnostic Radiology Physician
- Gastonia, NC
- NPI 1356324487
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
- Henry Clayton Thomason III, MD
- Autumn Thompson, CERTIFIED NURSE ASSI
- Carolyn E. Thompson, AUD CC-A
- Celeste Thompson, MA, CCC-SLP
- Crystal Thompson
- Julie Parker Thompson, FNP-BC, PMHNP-BC
- Leslie Franks Thompson, ARNP
- Mark Allen Thompson, M.D.
- Melodee Thompson, MSW, LCSWA
- Monica Denise Thompson, M.ED CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.