Jackson Thompson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

296 Cross Creek Rd
Henderson, NC 27537

Phone

(252) 915-7228

NPI assigned

Jun 8, 2017

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720517147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 CROSS CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275377921",
            "telephone_number": "252-915-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "296 CROSS CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "27537",
            "telephone_number": "252-915-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JACKSON",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Specialties of North Carolina, PLLC
• Ericka Jasmine Thomas, LPCA
• Jacalyn Watson Thomas, PHD, LCAS
• Lasheena Thomas
• Susie Thomas
• Karen Allen Thompson, M.ED.,CCC-SLP
• Valerie Hartzog Thorn
• Kristina Thornton, PHARMD
• Tina Gupta DDS PA II
• Bailee Elizabeth Tippett

• All providers in Henderson, NC
• Athletic Trainer in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.