Individual provider Active NPI

Gregory Ahern Thompson, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Dothan, AL
National Provider Identifier
1922148394
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
DO.1308 Issued in AL
Practice address
1909 Honeysuckle Rd Ste 2
Dothan, AL 36305-4288
Phone
(334) 699-5076
Fax
(334) 699-5078
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1909 Honeysuckle Rd
Suite 2
Dothan, AL 36305-4288
Phone (334) 699-5076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20130411000355 AL Practitioner - Osteopathic Manipulative Medicine 8325080195 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1808TNMDBehavioral Analyst
1255MEMDClinical Social Worker
DO.1308ALMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory Thompson DO LLC Neuromusculoskeletal Medicine & Omm CurrentSince Sep 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osteopathic Familycare, LLC Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Locations

1909 Honeysuckle Rd
Ste 2
Dothan, AL 36305
Phone (334) 699-5076

1817 S Oates St
Dothan, AL 36301
Phone (334) 793-1081

1891 Honeysuckle Rd
Ste 1
Dothan, AL 36305
Phone (334) 479-0051

Interoperability endpoints

  • Direct secure messaging: gregory.thompson.1@16078.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16078/brand/1/csg/1/fhir/r4

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1808 TN
Family Medicine Physician 207Q00000X DO.1308 AL
Family Medicine Physician 207Q00000X 1808 TN
Neuromusculoskeletal Medicine & OMM Physician 204D00000X DO.1308 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

1909 Honeysuckle Rd Ste 2
Dothan, AL 36305-4288

Mailing address

114 Falkirk Dr
Dothan, AL 36305-6982
Phone (334) 944-4010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2021.

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1922148394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FALKIRK DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363056982",
            "telephone_number": "334-944-4010",
            "fax_number": "334-699-2268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 HONEYSUCKLE RD STE 2",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363054288",
            "telephone_number": "334-699-5076",
            "fax_number": "334-699-5078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "GREGORY",
        "middle_name": "AHERN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TN",
            "license": "1808",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO.1308",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "1808",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AL",
            "license": "DO.1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.