Individual provider Active NPI

Clifford T Thompson, MD

  • Surgery Physician
  • Blairsville, GA
National Provider Identifier
1841276953
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
68323 Issued in GA
Practice address
191 Deep South Farm Rd
Blairsville, GA 30512-2220
Phone
(706) 781-6950
NPI assigned
Dec 20, 2005
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 68323 GA Primary

Addresses

Primary practice location

191 Deep South Farm Rd
Blairsville, GA 30512-2220

Mailing address

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111

Other practice location 1

35 Hospital Rd
Blairsville, GA 30512-3139
Phone (706) 745-2111 ext. 6137

Other identifiers 2

IdentifierTypeStateIssuer
377958100MedicaidFL
020027339OtherFLRR MEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cliffordthompson@uniongeneral.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 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
I20120815000411 GA Practitioner - General Surgery 9931272606 Reassigns benefits to 1 organization
I20200313000878 NC Practitioner - General Surgery 9931272606 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68323GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Hospital Authority Current Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 1, 2020 Accepting new patients
Union County Hospital Authority Current Accepting new patients
Union County Hospital Authority CurrentSince Nov 1, 2020 Accepting new patients
Murphy Medical Center Inc Current Accepting new patients
Union County Hospital Authority CurrentSince Nov 1, 2020 Accepting new patients
Murphy Medical Center, Inc. Surgery CurrentSince Feb 17, 2020 Accepting new patients
Murphy Medical Center, Inc. CurrentSince Feb 17, 2020 Accepting new patients
Aeve, PA Past Accepting new patients
Abilene Advanced Eyecare Inc. PastSince Dec 1, 2003 Accepting new patients

Locations

35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812

2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066

2855 Old Highway 5
Ste 106
Blue Ridge, GA 30513
Phone (706) 632-2066

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

145 Medical Park Ln
Ste L
Murphy, NC 28906
Phone (828) 349-3376

75 Medical Park Ln
Ste D
Murphy, NC 28906
Phone (828) 835-4741

Interoperability endpoints

  • Direct secure messaging: clifford.thompson.1@9865.direct.athenahealth.com
  • Direct secure messaging: cliffordthompson@uniongeneral.cernerdirect.com
  • Direct secure messaging: thompsct@yourcarecommunity.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1841276953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 HOSPITAL RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305123139",
            "telephone_number": "706-745-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 DEEP SOUTH FARM RD",
            "city": "BLAIRSVILLE",
            "state": "GA",
            "postal_code": "305122220",
            "telephone_number": "706-781-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123139",
            "country_code": "US",
            "telephone_number": "706-745-2111 x6137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CLIFFORD",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "68323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377958100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020027339",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cliffordthompson@uniongeneral.cernerdirect.com",
            "affiliation": "N",
            "address_1": "35 Hospital Rd",
            "city": "Blairsville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305123139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blairsville, GA

Sources for this page

Verify at the official NPI Registry.