Jean Bennett Thompson, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R851018 Issued in MS

Practice address

8950 Lorraine Rd
Suite B
Gulfport, MS 39503

Phone

(228) 575-2770

Fax

(228) 896-5374

NPI assigned

Sep 20, 2006

Last updated

Dec 21, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jean Louise Bennett Former name

Medicare fee-for-service enrollment

Enrolled in MS, AL2 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 2

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Family Care, LLCGroup PAC ID 9739087818, 180 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jean.thompson.1@16253.direct.athenahealth.com

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.

• American Family Care, LLC

  • Primary Care Clinic/Center
  • Birmingham, AL
  • NPI 1669429080
  Medicare reassignment Care Compare group NPD
• Alabama Providence Healthcare Services

  dba Providence Medical Group

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1245669514
  Medicare reassignment NPD
• USA Health Community Providers LLC

  • Family Medicine Physician
  • Mobile, AL
  • NPI 1801571823
  Medicare reassignment NPD
• Memorial Hospital at Gulfport

  • Urology Physician
  • Gulfport, MS
  • NPI 1093142598
  Medicare reassignment
• Memorial Hospital at Gulfport

  dba Memorial Surgery Center Cedar Lake

  • General Acute Care Hospital
  • Biloxi, MS
  • NPI 1215546635
  NPD
• Memorial Hospital at Gulfport

  dba Memorial Emergency Physicians

  • Emergency Medicine Physician
  • Gulfport, MS
  • NPI 1962780379
  NPD
• Alabama Providence Healthcare Services

  dba Ascension Providence Diabetes Management Program

  • Endocrinology, Diabetes & Metabolism Physician
  • Mobile, AL
  • NPI 1609446087
  NPD
• American Family Care, LLC

  • Family Medicine Physician
  • Vestavia Hills, AL
  • NPI 1265210645
  NPD
• Acs Emergency Services of Mississippi Professional Association

  • Emergency Medicine Physician
  • Cleveland, MS
  • NPI 1396996997
  NPD (past)
• Memorial Hospital at Gulfport

  dba Physicans Clinic at MHG

  • Nephrology Physician
  • Biloxi, MS
  • NPI 1649585258
  NPD (past)
• Singing River Health System

  • Multi-Specialty Clinic/Center
  • Gautier, MS
  • NPI 1083893937
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1710084678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 LORRAINE RD",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-575-2770",
            "fax_number": "228-896-5374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 LORRAINE RD",
            "address_2": "SUITE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "39503",
            "telephone_number": "228-575-2770",
            "fax_number": "228-896-5374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JEAN",
        "middle_name": "BENNETT",
        "credential": "CFNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R851018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "BENNETT",
            "middle_name": "LOUISE",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Thomas, M.D.
• Stormie Thomas
• Joel D Thomason, BHCMII
• Carol Leigh Anne Thompson
• Heather Dawn Thompson
• Paris Patrice Thompson, PCMHT
• Stephanie Thompson
• Taylor Thompson, RBT
• Timothy Thompson
• Timothy Timell Thompson Sr., PHARM.D.

• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.