Active NPI
Erica Thompson, MD
- Health Educator
- Jackson, MS
National Provider Identifier
1649774522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 1230 Raymond Rd Ste 600
Jackson, MS 39204-4579 - Phone
- (601) 613-3737
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
1230 Raymond Rd Ste 600
Jackson, MS 39204-4579
Mailing address
PO Box 1100
Raymond, MS 39154-1100
Phone (601) 613-3737
Other practice location 1
1636 Popps Ferry Rd
Biloxi, MS 39532-2217
Phone (228) 896-3947
Other practice location 2
300 Franklin St
Natchez, MS 39120-3262
Phone (601) 613-3737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Medical Foundation | Health Educator | Current | Accepting new patients |
Locations
1230 Raymond Rd
Ste 600
Jackson, MS 39204
Phone (601) 613-3737
Organizations & group practices 1
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.
-
- Health Educator
- Jackson, MS
- NPI 1114421021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521763200000",
"number": "1649774522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "RAYMOND",
"state": "MS",
"postal_code": "391541100",
"telephone_number": "601-613-3737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 RAYMOND RD STE 600",
"city": "JACKSON",
"state": "MS",
"postal_code": "392044579",
"telephone_number": "601-613-3737"
}
],
"practiceLocations": [
{
"address_1": "1636 Popps Ferry Rd",
"address_purpose": "LOCATION",
"city": "Biloxi",
"state": "MS",
"postal_code": "395322217",
"country_code": "US",
"telephone_number": "228-896-3947",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Franklin St",
"address_purpose": "LOCATION",
"city": "Natchez",
"state": "MS",
"postal_code": "391203262",
"country_code": "US",
"telephone_number": "601-613-3737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.