Individual provider Active NPI

Angelia Pickett Thompson, FNP

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1962258244
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29040 Issued in SC
Practice address
1721 Ebenezer Rd Ste 145
Rock Hill, SC 29732-1119
Phone
(803) 328-2401
Fax
(803) 328-1030
NPI assigned
Apr 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29040 SC Primary
Registered Nurse 163W00000X 64839 SC

Addresses

Primary practice location

1721 Ebenezer Rd Ste 145
Rock Hill, SC 29732-1119

Mailing address

4715 Westwind Dr
Rock Hill, SC 29732-9194
Phone (803) 372-8569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20250106001086 SC Practitioner - Nurse Practitioner 2264960145 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Physician Network LLCGroup PAC ID 7911287552, 92 clinicians

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 145
Rock Hill, SC 29732-1119
Phone (803) 328-2401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
64839SCMDRegistered Nurse
29040SCMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Home Physician Care, LLC Family CurrentSince Nov 4, 2024 Accepting new patients
Piedmont Physician Network LLC Family CurrentSince Jun 27, 2025 Accepting new patients
Piedmont General Surgery Associates, LLC Past Accepting new patients
The Children's Clinic PastSince May 11, 2025 Accepting new patients

Locations

222 Herlong Ave S
Rock Hill, SC 29732
Phone (803) 324-1950

200 Herlong Ave S
Ste E
Rock Hill, SC 29732
Phone (803) 324-1950

1721 Ebenezer Rd
Ste 145
Rock Hill, SC 29732
Phone (803) 328-2401

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14489/brand/1/csg/1/fhir/r4
  • Direct secure messaging: angelia.thompson.1@14929.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1962258244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4715 WESTWIND DR",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297329194",
            "telephone_number": "803-372-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 EBENEZER RD STE 145",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321119",
            "telephone_number": "803-328-2401",
            "fax_number": "803-328-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ANGELIA",
        "middle_name": "PICKETT",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29040",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "64839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.