Individual provider Active NPI

Hayden Reece Thompson, APRN FNP-C

  • Primary Care Nurse Practitioner
  • Greenwood, SC
National Provider Identifier
1992544167
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28758 Issued in SC
Practice address
422 Montague Ave Ste 5
Greenwood, SC 29649-1961
Phone
(864) 990-5074
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 28758 SC Primary

Addresses

Primary practice location

422 Montague Ave Ste 5
Greenwood, SC 29649-1961

Mailing address

422 Montague Ave Ste 5
Greenwood, SC 29649-1961
Phone (864) 990-5074

Other identifiers 1

IdentifierTypeStateIssuer
28758OtherSCSC LLR

Other names 1

  • Hayden Reece Gregory Former name

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
I20240726001135 SC Practitioner - Nurse Practitioner 2163968074 Reassigns benefits to 1 organization

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
Best Life Wellness, LLCGroup PAC ID 7517363021, 3 clinicians

Practice addresses (Care Compare)

104 Maxwell Ave
Suite 235
Greenwood, SC 29646-2641
Phone (864) 990-5074

Hospital & facility affiliations

  • Self Regional Healthcare Hospital, Greenwood, SC, CCN 420071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Best Life Wellness, LLC CurrentSince Jul 1, 2024 Accepting new patients

Locations

422 Montague Ave
Ste 5
Greenwood, SC 29649
Phone (864) 990-5074

104 Maxwell Ave
Ste 235
Greenwood, SC 29646
Phone (864) 990-5074

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24000/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hayden.thompson.1@24000.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1992544167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MONTAGUE AVE STE 5",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491961",
            "telephone_number": "864-990-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MONTAGUE AVE STE 5",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296491961",
            "telephone_number": "864-990-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "HAYDEN",
        "middle_name": "REECE",
        "credential": "APRN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "SC",
            "license": "28758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LLR",
            "identifier": "28758",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAYDEN",
            "last_name": "GREGORY",
            "middle_name": "REECE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenwood, SC

Sources for this page

Verify at the official NPI Registry.