Organization Active NPI

Thompson Medical Service, LLC

Doing business as Thompson Medical Service

  • General Practice Physician
  • Blue Mountain, MS
National Provider Identifier
1770050908
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
THOMPSON MEDICAL SERVICE, LLC
Doing business as
Thompson Medical Service
Practice address
1200 Hwy 15 North
Blue Mountain, MS 38610
Phone
(662) 316-0414
NPI assigned
Oct 25, 2018
Last updated
Feb 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Authorized official

Name
Rebecca ThompsonNPI 1598045833
Title
Owner
Phone
(662) 316-0414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1200 Hwy 15 North
Blue Mountain, MS 38610

Mailing address

PO Box 1036
New Albany, MS 38652-1036
Phone (662) 316-0414

Other names 1

  • THOMPSON MEDICAL SERVICE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190304001324 MS Part B Supplier - Clinic/Group Practice 7012256365 Receives reassigned benefits from 2 practitioners
Practice locations: Ripley, MS; Blue Mountain, MS; Ashland, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550620800000",
    "number": "1770050908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386521036",
            "telephone_number": "662-316-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HWY 15 NORTH",
            "city": "BLUE MOUNTAIN",
            "state": "MS",
            "postal_code": "38610",
            "telephone_number": "662-316-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON MEDICAL SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-25",
        "last_updated": "2019-02-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-316-0414"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THOMPSON MEDICAL SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blue Mountain, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.