Individual provider Active NPI

Tina-Ann Kerr Thompson, M.D.

  • Family Medicine Physician
  • Stone Mountain, GA
National Provider Identifier
1558453282
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
053622 Issued in GA
Practice address
1192 Rockbridge Rd Ste a
Stone Mountain, GA 30087-2923
Phone
(770) 925-2010
Fax
(770) 925-1665
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 053622 GA Primary

Addresses

Primary practice location

1192 Rockbridge Rd Ste a
Stone Mountain, GA 30087-2923

Mailing address

1192 Rockbridge Rd Ste a
Stone Mountain, GA 30087-2923
Phone (770) 925-2010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040923000349 GA Practitioner - Family Practice 7315915725 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Boston University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians

Practice addresses (Care Compare)

1699 Hwy 124 N
Suite 100
Snellville, GA 30078-7921
Phone (678) 218-6702

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Columbus, GA, CCN 117056
  • Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
  • Piedmont Eastside Medical Center Hospital, Snellville, GA, CCN 110192
  • Northside Hospital Cherokee Hospital, Canton, GA, CCN 110008
  • Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016
  • Emory Hillandale Hospital Hospital, Lithonia, GA, CCN 110226

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
053622GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Sep 4, 2022 Accepting new patients
Tina-Ann Kerr Thompson, MD, PC Family Medicine Current Accepting new patients
Dekalb Medical Primary Care Group LLC Current Accepting new patients
The Emory Clinic Inc CurrentSince Jun 4, 2020 Accepting new patients
Emory Employer Based Health Services Past Accepting new patients
The Doctor'S Office, LLC Family Medicine Past Accepting new patients
Emory Health Care Past Accepting new patients

Locations

4786 Briarcliff Rd NE
Atlanta, GA 30345

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091

2701 N Decatur Rd
Decatur, GA 30033
Phone (404) 501-1000

487 Winn Way
Ste 202
Decatur, GA 30030
Phone (404) 294-0702

7823 Spivey Station Blvd
Jonesboro, GA 30236
Phone (678) 782-5000

3000 Shakerag Hl
Peachtree Cty, GA 30269
Phone (478) 994-0437

3345 Highway 34 E
Sharpsburg, GA 30277
Phone (770) 502-8005

3550 Centerville Hwy
Snellville, GA 30039
Phone (770) 736-7806

1800 Tree Ln
Ste 120
Snellville, GA 30078
Phone (770) 925-2010

1050 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (404) 778-8605

1192 Rockbridge Rd
Ste A
Stone Mtn, GA 30087
Phone (770) 925-2000

1192 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 925-2010

Interoperability endpoints

  • Direct secure messaging: tthompson68684@direct.emory.org

Organizations & group practices 8

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 6

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1558453282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 ROCKBRIDGE RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872923",
            "telephone_number": "770-925-2010",
            "fax_number": "770-925-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 ROCKBRIDGE RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300872923",
            "telephone_number": "770-925-2010",
            "fax_number": "770-925-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TINA-ANN",
        "middle_name": "KERR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "053622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.