Carol Leigh Anne Thompson

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

THOM-9BJFWB Issued in MS

Practice address

2449 Summerwood
Gulfport, MS 39507-2216

Phone

(601) 508-7789

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carol Leigh Anne Collier Former name

Medicare fee-for-service enrollment

Enrolled in MS, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maxem Health Urgent Care DibervilleGroup PAC ID 1759624968, 11 clinicians

Orange Grove Urgent CareGroup PAC ID 6103978721, 11 clinicians

Ocean Springs Urgent CareGroup PAC ID 0244426195, 18 clinicians

Pascagoula Urgent CareGroup PAC ID 8527241207, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Maxem Health Urgent Care Diberville

  • Urgent Care Clinic/Center
  • Diberville, MS
  • NPI 1265991608
  Medicare reassignment Care Compare group NPD
• Ocean Springs Urgent Care

  • Urgent Care Clinic/Center
  • Ocean Springs, MS
  • NPI 1871808022
  Medicare reassignment Care Compare group NPD
• Orange Grove Urgent Care

  • Urgent Care Clinic/Center
  • Gulfport, MS
  • NPI 1831330661
  Medicare reassignment Care Compare group NPD
• Pascagoula Urgent Care

  • Urgent Care Clinic/Center
  • Pascagoula, MS
  • NPI 1235442872
  Medicare reassignment Care Compare group NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment NPD
• Maxem Health Urgent Care Flowood

  • Urgent Care Clinic/Center
  • Flowood, MS
  • NPI 1174070650
  Medicare reassignment NPD
• Maxem Health Urgent Care McComb

  • Urgent Care Clinic/Center
  • McComb, MS
  • NPI 1235619479
  Medicare reassignment NPD
• Elite Urgent Care LLC

  • Urgent Care Clinic/Center
  • Mobile, AL
  • NPI 1922672245
  Medicare reassignment NPD
• Maxem Health Urgent Care Mobile

  • Urgent Care Clinic/Center
  • Mobile, AL
  • NPI 1225706773
  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Gulfport 49 Imaging, LLC

  • Radiology Clinic/Center
  • Gulfport, MS
  • NPI 1134702301
  NPD
• Elite Urgent Care LLC

  • Urgent Care Clinic/Center
  • Mobile, AL
  • NPI 1588405070
  NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545004800000",
    "number": "1861963993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2449 SUMMERWOOD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072216",
            "telephone_number": "601-508-7789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2449 SUMMERWOOD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395072216",
            "telephone_number": "601-508-7789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CAROL",
        "middle_name": "LEIGH ANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "THOM-9BJFWB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "COLLIER",
            "middle_name": "LEIGH ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Gail Thomas
• Carricka D Thomas, FNP-BC
• Joshua Thomas, M.D.
• Stormie Thomas
• Joel D Thomason, BHCMII
• Heather Dawn Thompson
• Jean Bennett Thompson, CFNP
• Paris Patrice Thompson, PCMHT
• Stephanie Thompson
• Taylor Thompson, RBT

• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.