Active NPI
Barry Lane Thompson, M.D.
- Dermatology Physician
- Augusta, GA
National Provider Identifier
1760478580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 013094
- Practice address
- 2060 Central Ave
Augusta, GA 30904-4177 - Phone
- (706) 738-4442
- Fax
- (770) 381-6451
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 013094 | GA | Primary |
Addresses
Primary practice location
2060 Central Ave
Augusta, GA 30904-4177
Mailing address
2060 Central Ave
Augusta, GA 30904-4177
Phone (706) 738-4442
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000130666B | Medicaid | GA | |
| G13094 | Medicaid | SC | |
| 406072004 | Other | GA | RAILROAD MEDICARE |
| 033800 | Other | GA | BLUE CROSS/BLUE SHIELD GA |
| 4114157 | Other | GA | AETNA |
| 265295 | Other | GA | FIRST HEALTH PLAN |
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013094 | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry L Thompson | Dermatology | Past | Accepting new patients |
| Obstetrics and Gynecology Services of Augusta PC | Past | Accepting new patients | |
| Wesley S Wilborn MD PC | Dermatology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dermatology Physician
- Augusta, GA
- NPI 1215923073
-
- Obstetrics & Gynecology Physician
- Augusta, GA
- NPI 1922319094
-
- Dermatology Physician
- Atlanta, GA
- NPI 1750554978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374710400000",
"number": "1760478580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2060 CENTRAL AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044177",
"telephone_number": "706-738-4442",
"fax_number": "770-381-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 CENTRAL AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044177",
"telephone_number": "706-738-4442",
"fax_number": "770-381-6451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BARRY",
"middle_name": "LANE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2013-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "013094",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000130666B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G13094",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "406072004",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD GA",
"identifier": "033800",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4114157",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PLAN",
"identifier": "265295",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.