Emmitt Michael Thompson, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME148662 Issued in FL

Practice address

13569 Panama City Beach Pkwy
Panama City Beach, FL 32407-2847

Phone

(850) 238-8563

NPI assigned

Jul 29, 2014

Last updated

Oct 4, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, FL2 enrollments

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 2

Specialty

Internal MedicineAlso: Family Practice, General Practice, Geriatric Medicine, Preventive Medicine

Education

Meharry Medical College School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Concierge Home Care Home health agency, Ocala, FL, CCN 687152
• Better @ Home Home health agency, The Villages, FL, CCN 108235

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Angel E Tafur MD PA

  • Family Medicine Physician
  • The Villages, FL
  • NPI 1205928512
  Medicare reassignment NPD
• Optimum Health Wellness Center Inc

  dba Angel E Tafur MD PA

  • Primary Care Clinic/Center
  • Lady Lake, FL
  • NPI 1023866779

  General Practice

  NPD Authorized official
• Redondo Health

  • Primary Care Clinic/Center
  • Phoenix, AZ
  • NPI 1376163824
  Authorized official Same address or phone
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863
  NPD
• Another Level of Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1215472618

  Family Medicine

  NPD (past)
• Another Level of Community Services

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1851222939
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Caretenders Visiting Services of Hernando County, LLC

  • Home Health Agency
  • Brooksville, FL
  • NPI 1093884223
  Care Compare affiliation
• Caretenders Visiting Services of Hernando County, LLC

  dba Better @ Home

  • Home Health Agency
  • The Villages, FL
  • NPI 1578728242
  Care Compare affiliation
• CHC of Ocala LLC

  dba Concierge Home Care

  • Home Health Agency
  • Ocala, FL
  • NPI 1285236968
  Care Compare affiliation

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1760890131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 WEST EARLL DRIVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85013",
            "telephone_number": "602-524-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13569 PANAMA CITY BEACH PKWY",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324072847",
            "telephone_number": "850-238-8563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 West Earll Drive",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85013",
            "country_code": "US",
            "telephone_number": "602-524-7684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "EMMITT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-29",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "FL",
            "license": "148662",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME148662",
            "primary": true
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "53103",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "53103",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "FL",
            "license": "148662",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "FL",
            "license": "ME148662",
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "FL",
            "license": "ME148662",
            "primary": false
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": "FL",
            "license": "ME148662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Work Studies Institute,LLC (WSI Learning Center)
• Ashley P Theobald, PA-C
• Therapeutic Outcomes, LLC
• Donald Wayne Thomas, PA
• Amanda Shianne Thompson, PA-C
• Lee Adam Thompson, L. M. T.
• Amanda C Thorburn
• Claire Joy Tiglao, APRN, PMHNP
• Sarah Tilley, M.A., NCC, LMHC
• TLC Providers Inc

• Internal Medicine Physician in Panama City Beach, FL
• Providers in Panama City Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.