Individual provider Active NPI

Kevin E Thompson, MD

  • Internal Medicine Physician
  • Winchester, TN
National Provider Identifier
1649279274
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
66958 Issued in TN
Practice address
2118 Cowan Hwy
Winchester, TN 37398-2637
Phone
(931) 962-4040
Fax
(847) 669-2980
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 66958 TN Primary

Addresses

Primary practice location

2118 Cowan Hwy
Winchester, TN 37398-2637

Mailing address

2118 Cowan Hwy
Winchester, TN 37398-2637
Phone (931) 962-4040

Other identifiers 2

IdentifierTypeStateIssuer
04532206OtherILBLUE CROSS BLUE SHIELD
036083414MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20041019001037 IL Practitioner - Emergency MedicinePractitioner - Internal Medicine 4789645243 Reassigns benefits to 2 organizations
I20230330003101 TN Practitioner - Internal Medicine 4789645243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amg-Southern Tennessee LLCGroup PAC ID 5991765943, 54 clinicians

Practice addresses (Care Compare)

2118 Cowan Hwy
Winchester, TN 37398-2637
Phone (931) 962-4040

81 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-0450

83 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-3966

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66958TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jan 6, 2023 Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Jan 6, 2023 Accepting new patients
Amg-Southern Tennessee LLC Current Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine Current Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Greater Elgin Emergency Specialists LTD Emergency Medicine Past Accepting new patients
Amg -Southern Tennessee LLC Internal Medicine Past Accepting new patients
Amg-Southern Tennessee LLC Past Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

2320 Royal Blvd
Elgin, IL 60123
Phone (224) 783-4440

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

9515 Holy Cross Ln
Saint Rose, IL 62230
Phone (618) 526-4511

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

81 Memorial Dr
Winchester, TN 37398
Phone (931) 967-7171

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

2118 Cowan Hwy
Winchester, TN 37398
Phone (931) 962-4040

Interoperability endpoints

  • Direct secure messaging: kevin.thompson.1@19363.direct.athenahealth.com

Organizations & group practices 12

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1649279274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 COWAN HWY",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982637",
            "telephone_number": "931-962-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 COWAN HWY",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982637",
            "telephone_number": "931-962-4040",
            "fax_number": "847-669-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KEVIN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "66958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04532206",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083414",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.