Individual provider Active NPI

Elaine Allen Thompson, MD

  • Obstetrics & Gynecology Physician
  • Southaven, MS
National Provider Identifier
1811935927
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19406 Issued in MS
Practice address
7900 Airways Blvd. BLDG C
Suite 2
Southaven, MS 38671-4114
Phone
(662) 349-5554
Fax
(662) 349-5570
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 41322 TN
Obstetrics & Gynecology Physician 207V00000X 19406 MS Primary
Obstetrics & Gynecology Physician 207V00000X 25623 AL

Addresses

Primary practice location

7900 Airways Blvd. BLDG C
Suite 2
Southaven, MS 38671-4114

Mailing address

8110 N Brother Blvd Ste 200
Bartlett, TN 38133-2760
Phone (901) 255-5221

Other identifiers 4

IdentifierTypeStateIssuer
00304573MedicaidMS
P00391231OtherRAILROAD MEDICARE
3810336MedicaidTN
4134185OtherTNBCBS

Other names 1

  • Elaine Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS2 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

Enrollment IDStateProvider typePAC IDDetails
I20060807000339 TN Practitioner - Obstetrics/Gynecology 7214914621 Reassigns benefits to 1 organization
I20060815000243 MS Practitioner - Obstetrics/Gynecology 7214914621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memphis Obstetrics and Gynecological Association PCGroup PAC ID 7214918762, 46 clinicians

Practice addresses (Care Compare)

7628 Airways Blvd
Southaven, MS 38671-5304
Phone (662) 349-5554

8110 N Brother Blvd
Suite 200
Bartlett, TN 38133-2760
Phone (901) 373-8949

Hospital & facility affiliations

  • Baptist Memorial Hospital Desoto Hospital, Southaven, MS, CCN 250141
  • Methodist Healthcare - Olive Branch Hospital Hospital, Olive Branch, MS, CCN 250167

Merit-based Incentive Payment System (MIPS)

Final score
90.6 of 100Reported as group
Quality
92.14
Promoting interoperability
100
Improvement activities
40
Cost
76.54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25623ALMDObstetrics & Gynecology Physician
19406MSMDObstetrics & Gynecology Physician
41322TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Mississippi, P.C. Obstetrics & Gynecology CurrentSince Feb 21, 2018 Accepting new patients
Memphis Obstetrics and Gynecological Association PC Obstetrics & Gynecology CurrentSince Aug 1, 2006 Accepting new patients
Womens Health Specialists, PLLC Obstetrics & Gynecology Current Accepting new patients
Southwind Endoscopy Center Past Accepting new patients
Baptist Memorial Hospital-Desoto, Inc, Past Accepting new patients

Locations

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

7601 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-4000

7900 Airways Blvd
Bldg C2
Southaven, MS 38671
Phone (662) 349-5554

7628 Airways Blvd
Southaven, MS 38671
Phone (662) 349-5554

3775 Covington Pike
Memphis, TN 38135
Phone (901) 373-8949

6215 Humphreys Blvd
Ste 401
Memphis, TN 38120
Phone (901) 682-9222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16415/brand/2/csg/1/fhir/r4
  • Direct secure messaging: elaine.thompson.1@16415.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1811935927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 N BROTHER BLVD STE 200",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332760",
            "telephone_number": "901-255-5221",
            "fax_number": "901-373-4511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 AIRWAYS BLVD. BLDG C",
            "address_2": "SUITE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714114",
            "telephone_number": "662-349-5554",
            "fax_number": "662-349-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELAINE",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "41322",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MS",
            "license": "19406",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "25623",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00304573",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00391231",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810336",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4134185",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "ALLEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

Verify at the official NPI Registry.