Individual provider Active NPI

Richard Shaw Thompson, DO

  • Obstetrics & Gynecology Physician
  • Bolivia, NC
National Provider Identifier
1902125131
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2013-01763 Issued in NC
Practice address
584 Hospital Dr NE
Suite B
Bolivia, NC 28422-9047
Phone
(910) 721-4050
Fax
(910) 721-4051
NPI assigned
May 27, 2010
Last updated
Oct 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2013-01763 NC Primary

Addresses

Primary practice location

584 Hospital Dr NE
Suite B
Bolivia, NC 28422-9047

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (910) 721-4050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rthompson163676@direct.novanthealth.org

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20141016002494 NC Practitioner - Obstetrics/Gynecology 7214171891 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

106 Langtree Village Dr
Suite 200
Mooresville, NC 28117-7594
Phone (704) 316-4830

584 Hospital Dr NE B
Bolivia, NC 28422-9047
Phone (910) 721-4050

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group Inc CurrentSince Jul 21, 2014 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 21, 2014 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 15, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Jul 7, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
NMG Health Services LLC CurrentSince May 15, 2025 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

584 Hospital Dr NE
Unit B
Bolivia, NC 28422
Phone (910) 662-9480

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

106 Langtree Village Dr
Ste 200
Mooresville, NC 28117
Phone (704) 316-5570

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

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

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

Interoperability endpoints

  • Direct secure messaging: rthompson163676@direct.novanthealth.org

Organizations & group practices 9

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1902125131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "910-721-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 HOSPITAL DR NE",
            "address_2": "SUITE B",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284229047",
            "telephone_number": "910-721-4050",
            "fax_number": "910-721-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "RICHARD",
        "middle_name": "SHAW",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2013-01763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rthompson163676@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "584 Hospital Dr NE",
            "address_2": "Suite B",
            "city": "Bolivia",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284229047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bolivia, NC

Sources for this page

Verify at the official NPI Registry.