Taryn R Thompson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1152 Issued in AL

Practice address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Phone

(864) 423-4055

NPI assigned

Dec 5, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Taryn R Holliday Former name

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Physician Assistant

Education

University of South Alabama College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

USA Health - Mci Business Services LLCGroup PAC ID 6800290305, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• USA Health Children's & Women's Hospital Hospital, Mobile, AL, CCN 013301
• USA Health University Hospital Hospital, Mobile, AL, CCN 010087
• USA Health HCA Providence Hospital, LLC Hospital, Mobile, AL, CCN 010090

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

96.44

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• USA Health - Mci Business Services LLC

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1952972812
  Medicare reassignment Care Compare group
• Greater Mobile Urgent Care

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801063938
  Medicare reassignment NPD
• Gmuc of Citronelle LLC

  • Family Medicine Physician
  • Citronelle, AL
  • NPI 1164794343
  Medicare reassignment
• Gmuc of Saraland

  • Family Medicine Physician
  • Saraland, AL
  • NPI 1396161758
  Medicare reassignment
• Gmuc of Springhill LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1952617508
  Medicare reassignment
• University of South Alabama

  dba USA Health

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1700241015
  NPD
• USA Health - Mci Business Services LLC

  dba USA Health MCI - Surgical Oncology

  • Surgical Oncology Physician
  • Mobile, AL
  • NPI 1295408805
  NPD

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

• University of South Alabama

  dba USA Health Children's & Women's Hospital

  • Children's Hospital
  • Mobile, AL
  • NPI 1023055191
  Care Compare affiliation
• University of South Alabama

  dba USA Health University Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1063468072
  Care Compare affiliation
• University of South Alabama

  dba USA Health Reference Lab Billing

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1972138022
  Care Compare affiliation
• USA Health HCA Providence Hospital LLC

  dba USA Health Providence Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1992489223
  Care Compare affiliation

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1558639567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "864-423-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "864-423-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TARYN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1152",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA2086",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARYN",
            "last_name": "HOLLIDAY",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Mildred Thompson, M.S.
• Shelby Thompson
• Svetlana Thompson X
• Sydney Elizabeth Thompson, FNP
• Tamera Lynn Thompson
• Taylor Thompson
• Tiana Petit Thompson, LPC, LMHC
• Tiffany Thompson, BS, QMHA
• Trevor Thompson, M.D.
• Tyler Christian Thompson, MD

• Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.