NPIMap

Individual provider Active NPI

Victoria Lynne Thompson, PA-C

  • Physician Assistant
  • Savannah, GA
National Provider Identifier
1962078246
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10414 Issued in GA
Practice address
106 E Broad St
Savannah, GA 31401-2917
Phone
(912) 527-1000
Fax
(912) 790-2701
NPI assigned
May 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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
Physician Assistant 363A00000X 10414 GA Primary

Addresses

Primary practice location

106 E Broad St
Savannah, GA 31401-2917

Mailing address

106 E Broad St
Savannah, GA 31401-2917
Phone (912) 527-1000

Other practice location 1

1139 Lexington Ave Ste A
Savannah, GA 31404-5502
Phone (912) 303-4200

Other practice location 2

2721 Buford Hwy
Buford, GA 30518-3507
Phone (770) 945-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627003381 GA Practitioner - Physician Assistant 6204215908 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curtis V. Cooper Primary Health Care, Inc.Group PAC ID 4789667015, 32 clinicians
Urgent Care of Berwick LLCGroup PAC ID 4789900051, 9 clinicians

Practice addresses (Care Compare)

106 E Broad St
Savannah, GA 31401-2917
Phone (912) 527-1000

2 Roberts St
Savannah, GA 31408-3524
Phone (912) 966-2900

5730 Ogeechee Rd
Suite 192
Savannah, GA 31405-9521
Phone (912) 201-1140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10414GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis V. Cooper Primary Health Care, Inc CurrentSince Mar 27, 2023 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Current Accepting new patients
Urgent Care of Berwick LLC CurrentSince Jan 23, 2026 Accepting new patients
Curtis V. Cooper Primary Health Care Inc. CurrentSince Mar 27, 2023 Accepting new patients
Buford Care Inc PastSince Jun 1, 2021 Accepting new patients
Curtis V. Cooper Primary Health Care, Inc Past Accepting new patients

Locations

5730 Ogeechee Rd
Ste 192
Savannah, GA 31405
Phone (912) 201-1140

2 Roberts St
Savannah, GA 31408
Phone (912) 527-1100

106 E Broad St
Savannah, GA 31401
Phone (912) 527-1100

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1962078246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E BROAD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314012917",
            "telephone_number": "912-527-1000",
            "fax_number": "912-790-2701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E BROAD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314012917",
            "telephone_number": "912-527-1000",
            "fax_number": "912-790-2701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1139 Lexington Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314045502",
            "country_code": "US",
            "telephone_number": "912-303-4200",
            "fax_number": "912-790-2701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2721 Buford Hwy",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305183507",
            "country_code": "US",
            "telephone_number": "770-945-4800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "VICTORIA",
        "middle_name": "LYNNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "10414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.