Individual provider Active NPI

Grady Ausborne Thompson, MD

  • Family Medicine Physician
  • Albany, GA
National Provider Identifier
1710206552
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
032315 Issued in GA
Practice address
2336 Dawson Rd
Suite 1600
Albany, GA 31707-2800
Phone
(229) 312-8750
Fax
(229) 312-8765
NPI assigned
May 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 032315 GA Primary

Addresses

Primary practice location

2336 Dawson Rd
Suite 1600
Albany, GA 31707-2800

Mailing address

2336 Dawson Rd
Suite 1600
Albany, GA 31707-2800
Phone (229) 312-8750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040413000563 GA Practitioner - Family PracticePractitioner - Hospitalist 5597759514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
University of Alabama School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoebe Physician Group IncGroup PAC ID 8426112350, 420 clinicians

Practice addresses (Care Compare)

151 Mayo St
Suite B
Americus, GA 31709-4782
Phone (229) 928-2900

151 Mayo St a
Americus, GA 31709-4782
Phone (229) 312-5800

151 Mayo St C
Americus, GA 31709-4782
Phone (229) 928-2882

151 Mayo St D
Americus, GA 31709-4782
Phone (229) 928-1100

151 Mayo St E
Americus, GA 31709-4782
Phone (229) 931-1159

2000 Palmyra Rd
Albany, GA 31701-1528
Phone (229) 312-6711

2002 Palmyra Rd
Suite 201
Albany, GA 31701-1591

417 W 3Rd Ave
Albany, GA 31701-1943
Phone (229) 312-5222

803 N Jefferson St
Albany, GA 31701-2373
Phone (229) 312-7600

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
  • South Georgia Specialty Hospital Long-term care hospital, Albany, GA, CCN 112019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
032315GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Gastroenterology Associates CurrentSince May 1, 2012 Accepting new patients
Phoebe Physician Group, Inc CurrentSince May 1, 2012 Accepting new patients
Affabilis II LLC Past Accepting new patients
Phoebe Putney Memorial Hospital Inc Family Medicine Past Accepting new patients

Locations

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

2336 Dawson Rd
Ste 1600
Albany, GA 31707
Phone (229) 312-8750

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

Interoperability endpoints

  • Direct secure messaging: grady.thompson.1@8478.direct.athenahealth.com

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 2

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": "1274227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1710206552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2336 DAWSON RD",
            "address_2": "SUITE 1600",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072800",
            "telephone_number": "229-312-8750",
            "fax_number": "229-312-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 DAWSON RD",
            "address_2": "SUITE 1600",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317072800",
            "telephone_number": "229-312-8750",
            "fax_number": "229-312-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GRADY",
        "middle_name": "AUSBORNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-19",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "032315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.