Individual provider Active NPI

Johnetta Gigi Thompson, NP

  • Nurse Practitioner
  • McDonough, GA
National Provider Identifier
1609952688
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP153018 Issued in GA
Practice address
2050 Jonesboro Rd Ste 100
McDonough, GA 30253-6213
Phone
(678) 935-0090
Fax
(678) 935-0095
NPI assigned
Oct 31, 2006
Last updated
Oct 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN-NP153018 GA Primary
Family Nurse Practitioner 363LF0000X RN 119790 AP05291 LA

Addresses

Primary practice location

2050 Jonesboro Rd Ste 100
McDonough, GA 30253-6213

Mailing address

413 Riverwalk
McDonough, GA 30252-9014
Phone (770) 914-0692

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000371 GA Practitioner - Nurse Practitioner 9739278870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1280 Dogwood Dr SE
Conyers, GA 30013-5046
Phone (404) 994-4662

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

4475 W Village Pkwy
Ellenwood, GA 30294-2869
Phone (770) 507-7950

5239 Hwy 278 NE
Covington, GA 30014-2671
Phone (678) 660-5106

921 Eagles Landing Pkwy
Stockbridge, GA 30281-5011
Phone (770) 660-5106

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)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP153018GAMDNurse Practitioner
RN 119790 AP05291LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet of Georgia PC CurrentSince Nov 8, 2025 Accepting new patients
Wellstreet of Georgia PC CurrentSince Aug 26, 2025 Accepting new patients
Peachtree Immediate Care FP, LLC CurrentSince Aug 1, 2023 Accepting new patients
David E Kim MD PC PastSince Jul 1, 2019 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2050 Jonesboro Rd
Ste 100
McDonough, GA 30253
Phone (678) 935-0090

840 Highway 81 E
McDonough, GA 30252
Phone (678) 960-8173

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1609952688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 RIVERWALK",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302529014",
            "telephone_number": "770-914-0692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 JONESBORO RD STE 100",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536213",
            "telephone_number": "678-935-0090",
            "fax_number": "678-935-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JOHNETTA",
        "middle_name": "GIGI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP153018",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN 119790  AP05291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.