Active NPI
Keith P. Thompson MD PC
- Ophthalmologic Surgery Clinic/Center
- Atlanta, GA
National Provider Identifier
1770808420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- License
- 031339
- Legal business name
- KEITH P. THOMPSON MD PC
- Practice address
- 4505 Ashford Dunwoody Road
Suite 15
Atlanta, GA 30346-1516 - Phone
- (678) 666-5076
- Fax
- (678) 666-5076
- NPI assigned
- Apr 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith P Thompson, M.D.
- Title
- Owner
- Phone
- (678) 666-5076
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | 031339 | GA | Primary |
Addresses
Primary practice location
4505 Ashford Dunwoody Road
Suite 15
Atlanta, GA 30346-1516
Mailing address
4505 Ashford Dunwoody Road
Suite 15
Atlanta, GA 30346-1516
Phone (678) 666-5076
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10636649 | Other | GA | CAQH |
National Provider Directory
National Provider DirectoryLocations
4505 Ashford Dunwoody Rd NE
Ste 15
Atlanta, GA 30346
Phone (678) 392-4214
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Atlanta, GA
- NPI 1538113600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323043200000",
"number": "1770808420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4505 ASHFORD DUNWOODY ROAD",
"address_2": "SUITE 15",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303461516",
"telephone_number": "678-666-5076",
"fax_number": "678-666-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4505 ASHFORD DUNWOODY ROAD",
"address_2": "SUITE 15",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303461516",
"telephone_number": "678-666-5076",
"fax_number": "678-666-5076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEITH P. THOMPSON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-06",
"last_updated": "2011-12-05",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-666-5076",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "GA",
"license": "031339",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10636649",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.