Individual provider Active NPI

Andre C Thompson, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Memphis, TN
National Provider Identifier
1538383765
Registry record updated Oct 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
44591 Issued in TN
Practice address
80 Humphreys Center Dr Ste 200
Memphis, TN 38120-2352
Phone
(901) 578-2538
Fax
(901) 578-2572
NPI assigned
Apr 12, 2007
Last updated
Oct 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 44591 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 200
Memphis, TN 38120-2352

Mailing address

PO Box 405827
Atlanta, GA 30384-5800

Other names 1

  • Ali Ali Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090619000254 TN Practitioner - Pathology 1557412285 Reassigns benefits to 2 organizations
I20161214000388 IA Practitioner - Pathology 1557412285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Specialists Foundation, Inc.Group PAC ID 9830334010, 18 clinicians

Practice addresses (Care Compare)

6019 Walnut Grove Rd
Memphis, TN 38120-2113
Phone (901) 226-4910

6019 Walnut Grove Rd 4
Memphis, TN 38120-2113
Phone (901) 226-0732

80 Humphreys Ctr Dr
Suite 200
Memphis, TN 38120-2352
Phone (901) 761-3900

80 Humphreys Ctr Dr
Suite 210
Memphis, TN 38120-2353
Phone (901) 761-3900

Merit-based Incentive Payment System (MIPS)

Final score
95.28 of 100Reported as group
Quality
90.53
Promoting interoperability
100
Improvement activities
40
Cost
85.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Digestive Disease Center P.C. CurrentSince Dec 15, 2016 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 28, 2023 Accepting new patients
Baptist Memorial Medical Group Inc CurrentSince Aug 28, 2023 Accepting new patients
Gastrointestinal Specialists Foundation, Inc Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2013 Accepting new patients

Locations

1378 NW 124th St
Ste 200
Clive, IA 50325
Phone (515) 288-6097

36 Capital Way
Ste E
Atoka, TN 38004
Phone (901) 837-6801

22700 Highway 22
Ste A
Mc Kenzie, TN 38201
Phone (731) 986-7200

80 Humphreys Center Dr
Ste 200
Memphis, TN 38120
Phone (901) 578-2538

Interoperability endpoints

  • Direct secure messaging: athompson38975@direct.bmhcc.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1538383765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 405827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303845800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 200",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202352",
            "telephone_number": "901-578-2538",
            "fax_number": "901-578-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANDRE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "44591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALI",
            "last_name": "ALI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.