Individual provider Active NPI

James Arthur Thompson, CNS/PMH NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Thomasville, GA
National Provider Identifier
1558389940
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN077718 CNS/PMH NP Issued in GA
Practice address
401 Old Albany Rd
Thomasville, GA 31792-4014
Phone
(229) 228-8100
Fax
(229) 228-8154
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN077718 CNS/PMH NP GA Primary

Addresses

Primary practice location

401 Old Albany Rd
Thomasville, GA 31792-4014

Mailing address

920 US Highway 84 W
Thomasville, GA 31792-0510

Other identifiers 1

IdentifierTypeStateIssuer
00744202AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050805000098 GA Practitioner - Nurse Practitioner 7618906157 Reassigns benefits to 1 organization
I20051031000516 GA Practitioner - Certified Clinical Nurse Specialist (CNS) 7618906157 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

401 Old Albany Rd
Thomasville, GA 31792-4014
Phone (229) 228-8115

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN077718 CNS/PMH NPGAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John D Archbold Memorial Hospital Inc CurrentSince Jun 30, 2017 Accepting new patients
Georgia Pines Community Service Board CurrentSince Oct 7, 2017 Accepting new patients
John D. Archbold Memorial Hospital, Inc. CurrentSince Jun 30, 2017 Accepting new patients

Locations

920 Cairo Rd
Thomasville, GA 31792
Phone (229) 228-8800

401 Old Albany Rd
Thomasville, GA 31792
Phone (229) 228-8100

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

1102 Smith Ave
Ste H
Thomasville, GA 31792
Phone (229) 225-5208

1102 Smith Ave
Ste K
Thomasville, GA 31792
Phone (912) 227-5468

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558389940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 US HIGHWAY 84 W",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317920510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 OLD ALBANY RD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924014",
            "telephone_number": "229-228-8100",
            "fax_number": "229-228-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAMES",
        "middle_name": "ARTHUR",
        "credential": "CNS/PMH NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN077718 CNS/PMH NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00744202A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.