Individual provider Active NPI

Akeba Deqwan Thompson, NP

  • Gerontology Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1679163505
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
003670 Issued in GA
Practice address
1412 Milstead Ave NE Ste 100
Conyers, GA 30012-3877
Phone
(770) 483-9330
NPI assigned
Jan 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 003670 GA Primary
Acute Care Nurse Practitioner 363LA2100X 1-154430 AL
Nurse Practitioner 363L00000X GAA-NP003670 GA

Addresses

Primary practice location

1412 Milstead Ave NE Ste 100
Conyers, GA 30012-3877

Mailing address

418 8TH Ave SW
Childersburg, AL 35044-1816
Phone (334) 610-7490

Other practice location 1

500 22nd St S
Birmingham, AL 35233-3110
Phone (205) 975-4728

Other practice location 2

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-9999

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akebadthompson@direct.uabmedicine.org Direct University of Alabama Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NC, GA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210216002308 AL Practitioner - Nurse Practitioner 9739594284 Reassigns benefits to 1 organization
I20240908000002 NC Practitioner - Nurse Practitioner 9739594284 Reassigns benefits to 1 organization
I20251121001687 GA Practitioner - Nurse Practitioner 9739594284 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
Piedmont Cardiology of Atlanta, LLCGroup PAC ID 0345321691, 478 clinicians

Practice addresses (Care Compare)

1237 Harding PL
Suite 4300
Charlotte, NC 28204-2826
Phone (704) 373-0212

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GAA-NP003670GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Cardiology of Atlanta, LLC CurrentSince Oct 1, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 2, 2026 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince May 31, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Feb 1, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Mar 2, 2026 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

500 22nd St S
Birmingham, AL 35233
Phone (205) 801-7440

1802 6th Ave S
Birmingham, AL 35233
Phone (205) 934-5105

1412 Milstead Ave NE
Ste 100
Conyers, GA 30012
Phone (770) 483-9330

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1237 Harding Pl
Ste 4300
Charlotte, NC 28204

100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: athompson1155367@direct.unc.nchie.net
  • Direct secure messaging: akebadthompson@direct.uabmedicine.org

Organizations & group practices 6

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 6

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": "1611532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1679163505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 8TH AVE SW",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441816",
            "telephone_number": "334-610-7490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 MILSTEAD AVE NE STE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123877",
            "telephone_number": "770-483-9330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 22nd St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352333110",
            "country_code": "US",
            "telephone_number": "205-975-4728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-934-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "AKEBA",
        "middle_name": "DEQWAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-25",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "003670",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-154430",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "GAA-NP003670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akebadthompson@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 22nd St S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352333110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.