Individual provider Active NPI

Jamie Anne Thompson, DO

  • Neurology Physician
  • Salt Lake City, UT
National Provider Identifier
1831622851
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2024-02235 Issued in NC
Practice address
175 N Medical Drive East
Salt Lake City, UT 84132-0001
Phone
(801) 585-6387
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OP61578190 WA
Neurology Physician 2084N0400X DO3811 NV
Neurology Physician 2084N0400X 2024-02235 NC Primary
Neurology Physician 2084N0400X DO221922 OR
Neurology Physician 2084N0400X 343018 LA
Neurology Physician 2084N0400X 11901396-1204 UT
Neurology Physician 2084N0400X 0102208692 VA

Addresses

Primary practice location

175 N Medical Drive East
Salt Lake City, UT 84132-0001

Mailing address

175 N Medical Dr
Salt Lake City, UT 84112-1103
Phone (801) 585-6387

Other practice location 1

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 2

612 Mocksville Ave
Salisbury, NC 28144-2732
Phone (704) 637-1779

Other practice location 3

15790 Paul Vega Md Dr
Hammond, LA 70403-1436
Phone (985) 230-1683

Other practice location 4

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone (503) 692-1212

Other practice location 5

3225 S 900 E Apt 107
Millcreek, UT 84106-2686
Phone (985) 230-1683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, UT, WA, OR, LA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20241004002161 NC Practitioner - NeurologyPractitioner - Internal Medicine 5395163059 Reassigns benefits to 1 organization
I20241024000032 UT Practitioner - Neurology 5395163059 Reassigns benefits to 1 organization
I20250123001478 WA Practitioner - Diagnostic Radiology 5395163059 Reassigns benefits to 4 organizations
I20251218002019 OR Practitioner - Neurology 5395163059 Reassigns benefits to 1 organization
I20260616000437 LA Practitioner - Neurology 5395163059

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

190 Kimel Park Dr
Suite 120
Winston Salem, NC 27103-6946
Phone (336) 718-7063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO221922ORMDNeurology Physician
0102208692VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC Neurology CurrentSince Aug 20, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 30, 2025 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Sep 1, 2024 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2025 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2025 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 30, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Oct 9, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Legacy Clinics LLC CurrentSince Oct 30, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Jan 15, 2026 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 20, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Oct 30, 2025 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

190 Kimel Park Dr
Ste 120
Winston Salem, NC 27103
Phone (336) 277-2200

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1831622851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N MEDICAL DR",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841121103",
            "telephone_number": "801-585-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N MEDICAL DRIVE EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320001",
            "telephone_number": "801-585-6387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-9437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Mocksville Ave",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442732",
            "country_code": "US",
            "telephone_number": "704-637-1779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15790 Paul Vega Md Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-230-1683",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19300 SW 65th Ave",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970627706",
            "country_code": "US",
            "telephone_number": "503-692-1212",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3225 S 900 E Apt 107",
            "address_purpose": "LOCATION",
            "city": "Millcreek",
            "state": "UT",
            "postal_code": "841062686",
            "country_code": "US",
            "telephone_number": "985-230-1683",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "JAMIE",
        "middle_name": "ANNE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "OP61578190",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "DO3811",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2024-02235",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO221922",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "343018",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "UT",
            "license": "11901396-1204",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0102208692",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.