Individual provider Active NPI

Donovan Thompson, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1982620985
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9700780 Issued in NC
Practice address
3101 Latrobe Dr
Charlotte, NC 28211-4849
Phone
(704) 376-7362
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 34

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 34

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ballantyne Emergency Physicians PLLC 23 clinicians
Emergency Coverage LLC 761 clinicians
Wake Forest Emergency Providers 497 clinicians

Practice addresses (Care Compare)

11516 Providence Rd
Charlotte, NC 28277-2691
Phone (704) 667-0370

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Atrium Health Lincoln Hospital, Lincolnton, NC, CCN 340145
  • Blue Ridge Regional Hospital Hospital, Spruce Pine, NC, CCN 341329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, TX, MA, NJ, VA, DC, CA, OK, WA, AR, IL, MD, AZ, FL, KY, WV, LA, IA, MI, IN, TN, PA23 enrollments
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.

Medicare enrollment records 23

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20100120000509 NC Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 5 organizations
I20140908002282 OH Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 3 organizations
I20220808000815 TX Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 2 organizations
I20220809001879 MA Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20220816001023 NJ Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20220831000611 VA Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 2 organizations
I20221011000343 DC Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20221027002945 CA Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20221128000611 OK Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20230207001604 WA Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20230208000461 AR Practitioner - Emergency Medicine 3476695081
I20231130002277 IL Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20240131005032 MD Practitioner - Emergency Medicine 3476695081
I20240725003094 AZ Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20250116000709 FL Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 2 organizations
I20250801002672 KY Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20251231000013 WV Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20260330001398 LA Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20260330001761 IA Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20260330002855 MI Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20260330003069 IN Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20260408000001 TN Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization
I20260414003626 PA Practitioner - Emergency Medicine 3476695081 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9700780NCMDEmergency Medicine Physician
37576OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jan 24, 2024 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Dispatchhealth-Texas P a Emergency Medicine CurrentSince Jun 1, 2022 Accepting new patients
Dispatchhealth-Arizona Emergency Medicine CurrentSince Nov 15, 2023 Accepting new patients
Richbend Emergency Physicians, PLLC Emergency Medicine CurrentSince Oct 12, 2025 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 1, 2024 Accepting new patients
True North Health Navigation LLC Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Wake Forest Emergency Providers CurrentSince Oct 7, 2024 Accepting new patients
True North Health Navigation LLC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Dispatchhealth Massachusetts PC Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Ohio - Cincinnati Professional Corp Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Dispatchhealth-Ca, PC Emergency Medicine CurrentSince Sep 1, 2022 Accepting new patients
Dispatchhealth Washington PC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince May 23, 2025 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine CurrentSince Nov 14, 2009 Accepting new patients
Professional Portable Radiologic Services Inc. CurrentSince Oct 9, 2022 Accepting new patients
True North Health Navigation LLC Emergency Medicine CurrentSince Jul 21, 2022 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Ballantyne Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
Ballantyne Emergency Physicians PLLC Emergency Medicine CurrentSince Nov 27, 2024 Accepting new patients
Dispatchhealth, PC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Dispatchhealth-Arizona Emergency Medicine CurrentSince Jul 9, 2024 Accepting new patients
Internal Medicine Specialist, PA Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients
True North Health Navigation LLC Emergency Medicine Past Accepting new patients
Dispatchhealth NV Wagner PC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Emergency Medicine Past Accepting new patients
Piedmont Emergency Medical Associates, PA Emergency Medicine Past Accepting new patients
Excella Home Health Agency, LLC PastSince Jul 1, 2022 Accepting new patients
Iredell Memorial Hospital, Incorporated Past Accepting new patients
Professional Portable Radiologic Services Inc. PastSince Sep 1, 2022 Accepting new patients

Locations (25 of 54)

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

40 N Swan Rd
Ste 55
Tucson, AZ 85711
Phone (520) 442-2269

604 E Huntington Dr
Ste B
Monrovia, CA 91016

720 Carnegie Dr
Ste 140
San Bernardino, CA 92408

4719 Viewridge Ave
Ste 130
San Diego, CA 92123
Phone (303) 500-1815

140 Centennial Way
Tustin, CA 92780
Phone (706) 315-2523

3825 N Lafayette St
Denver, CO 80205
Phone (303) 505-1518

3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

12100 S John Young Pkwy
Orlando, FL 32837
Phone (407) 240-0129

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

980 N Michigan Ave
Ste 1400
Chicago, IL 60611
Phone (312) 214-3605

2225 W Harrison St
Ste 100
Chicago, IL 60612
Phone (773) 739-6706

980 N Michigan Ave
Ste 140
Chicago, IL 60611

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

3600 Cumberland Ave
Middlesboro, KY 40965
Phone (606) 237-1700

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

240 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3500

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

11516 Providence Rd
Charlotte, NC 28277
Phone (704) 667-0370

10628 Park Rd
Charlotte, NC 28210
Phone (704) 543-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: donovan.thompson.2@13869.direct.athenahealth.com
  • Direct secure messaging: donovanthompson@arh.medalliesdirect.net
  • Direct secure messaging: dthompson911817@ahs.direct-ci.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 37576 OK
Emergency Medicine Physician 207P00000X 9700780 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

3101 Latrobe Dr
Charlotte, NC 28211-4849

Mailing address

3101 Latrobe Dr
Charlotte, NC 28211-4849
Phone (704) 376-7362

Other practice location 1

2525 NW Expressway St Ste 102
Oklahoma City, OK 73112-7200
Phone (405) 213-0190

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
N00780MedicaidSC
8910558MedicaidNC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2022.

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1982620985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114849",
            "telephone_number": "704-376-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 LATROBE DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282114849",
            "telephone_number": "704-376-7362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 NW Expressway St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731127200",
            "country_code": "US",
            "telephone_number": "405-213-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "DONOVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "37576",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9700780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N00780",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8910558",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.