Individual provider Active NPI

Gena Marie Thompson, FNP-C

  • Family Nurse Practitioner
  • Madison, MS
National Provider Identifier
1629668900
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904118 Issued in MS
Practice address
102 Lexington Dr Ste 100
Madison, MS 39110-6952
Phone
(601) 973-1688
Fax
(601) 973-1690
NPI assigned
Jan 21, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 904118 MS Primary

Addresses

Primary practice location

102 Lexington Dr Ste 100
Madison, MS 39110-6952

Mailing address

102 Lexington Dr Ste 100
Madison, MS 39110-6952
Phone (601) 973-1688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20220504001271 MS Practitioner - Nurse Practitioner 8820485212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

102 Lexington Dr
Suite 100
Madison, MS 39110-6952
Phone (601) 973-1688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.38 of 100Reported as group
Quality
54.22
Promoting interoperability
100
Improvement activities
40
Cost
73.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904118MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince May 2, 2022 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince May 2, 2022 Accepting new patients
Lena Family Medical, Inc. PastSince Jan 1, 2021 Accepting new patients
BMC - Attala, LLC Past Accepting new patients

Locations

102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

1200 N State St
#10
Jackson, MS 39202
Phone (601) 362-7280

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: gthompson511631@direct.bmhcc.org
  • Direct secure messaging: gena.thompson@40481587920900.direct.elationemr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1629668900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LEXINGTON DR STE 100",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106952",
            "telephone_number": "601-973-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 LEXINGTON DR STE 100",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106952",
            "telephone_number": "601-973-1688",
            "fax_number": "601-973-1690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GENA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-21",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "904118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.