Individual provider Active NPI

Carly Thompson

  • Physician Assistant
  • Jefferson Hills, PA
National Provider Identifier
1871990770
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057119 Issued in PA
Practice address
1200 Brooks LN Ste 290
Jefferson Hills, PA 15025-3765
Phone
(412) 729-1500
Fax
(412) 384-2462
NPI assigned
Nov 21, 2014
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA057119 PA Primary
Surgical Physician Assistant 363AS0400X MA057119 PA

Addresses

Primary practice location

1200 Brooks LN Ste 290
Jefferson Hills, PA 15025-3765

Mailing address

4 Allegheny Ctr FL 7
Pittsburgh, PA 15212-5227

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carly.r.cocciolone@upmcdirect.com UPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150120000345 PA Practitioner - Physician Assistant 6507180650 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Medical Associate South IncGroup PAC ID 5193639136, 21 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

1200 Brooks LN
Suite 290
Jefferson Hills, PA 15025-3765
Phone (412) 729-1500

200 Quinn Dr
Suite 160
Pittsburgh, PA 15275-1055
Phone (412) 722-1003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA057119PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 31, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 31, 2016 Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 5, 2016 Accepting new patients
St. Clair Medical Services, Inc. CurrentSince Jul 5, 2016 Accepting new patients
Allegheny Clinic CurrentSince Oct 27, 2025 Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

200 Quinn Dr
Ste 160
Pittsburgh, PA 15275
Phone (412) 722-1003

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

5231 Centre Ave
Shadyside, PA 15232
Phone (412) 623-4114

Interoperability endpoints

  • Direct secure messaging: cthompson1000176@direct.ahn.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.

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": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1871990770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALLEGHENY CTR FL 7",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152125227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 BROOKS LN STE 290",
            "city": "JEFFERSON HILLS",
            "state": "PA",
            "postal_code": "150253765",
            "telephone_number": "412-729-1500",
            "fax_number": "412-384-2462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CARLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057119",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA057119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carly.r.cocciolone@upmcdirect.com",
            "affiliation": "Y",
            "affiliationName": "UPMC",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jefferson Hills, PA

Sources for this page

Verify at the official NPI Registry.