IMA S THOMPSON (NPI# 1184851008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184851008 |
| Entity Type | Individual |
| Full Name | IMA S THOMPSON |
| Credential | MD |
| Practice Address |
550 Medical Center Blvd Lawrenceville GA 30046-7688 |
| Mailing Address |
1841 Walnut Grove Ln Tucker GA 30084-5945 |
| Practice Telephone | 4048033033 |
| Mailing Telephone | 4048033033 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2015-10-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
74404 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
550 MEDICAL CENTER BLVD |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30046-7688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508403783 | Heather Leigh Farhy | Pediatrics | 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 | 2019-12-05 |
| 1639728777 | Suzanne M Tillman | Pediatrics | 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 | 2019-09-11 |
| 1932676269 | Breanne Massung Bautista | Nurse Practitioner | 550 Medical Center Blvd, Lawrenceville, GA 30046 | 2018-10-24 |
| 1467843417 | Dawn Cannova | Nurse Practitioner | 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 | 2015-02-12 |
| 1952707028 | Angelan Bryan | Nurse Practitioner | 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 | 2014-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023174 | Alpha & Omega Hearing Centers | Hearing Instrument Specialist | Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 | 2020-08-12 |
| 1285259846 | Mesun Health Services, Inc | Clinical Nurse Specialist | 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 | 2020-06-10 |
| 1215550264 | Mesun Health Services, Inc | Skilled Nursing Facility | 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 | 2020-05-26 |
| 1306499785 | Bryan Acosta | Chiropractor | 471 Scenic Hwy South, Lawrenceville, GA 30046 | 2019-07-24 |
| 1205308616 | Belle Lumiere Cosmetics LLC | Dermatology | 753 Old Norcross Road, Lawrenceville, GA 30046 | 2018-12-24 |
| 1548730179 | Alexis Nicole Robinson | Nurse Anesthetist, Certified Registered | 1000 Medical Center Boulevard, Lawrenceville, GA 30046 | 2018-11-27 |
| 1679060388 | Christopher Puckett | Student in an Organized Health Care Education/Training Program | 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 | 2018-04-18 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1013447044 | Pharmacy Investments of Lawrenceville, LLC | Pharmacy | 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 | 2017-06-13 |
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| Find all providers in zip 30046 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679530646 | Palanisamy Rajasekaran | Pediatrics | 700 Medical Center Blvd, Gwinnett Womens Pavilion, Lawrenceville, GA 30045-7693 | 2006-04-26 |
| 1508403783 | Heather Leigh Farhy | Pediatrics | 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 | 2019-12-05 |
| 1639728777 | Suzanne M Tillman | Pediatrics | 550 Medical Center Blvd, Lawrenceville, GA 30046-7688 | 2019-09-11 |
| 1578843454 | Neonatal Specialist of Georgia | Pediatrics | 700 Medical Center Blvd, Gwinnett Womens Pavilion, Lawrenceville, GA 30046-7693 | 2011-08-23 |
| 1588727614 | Leslie Dennis Leigh | Pediatrics | 700 Medical Center Blvd, Gwinnett Womens Pavilion, Lawrenceville, GA 30045-7693 | 2006-12-19 |
| 1679631881 | Dan Suskin | Pediatrics | 700 Medical Center Blvd, Gwinnett Womens Pavilion, Lawrenceville, GA 30046-7693 | 2006-12-04 |
| 1215095351 | Gwinnett Neonatology,pc | Pediatrics | 700 Medical Center Blvd, Gwinnett Womens Pavilion, Lawrenceville, GA 30045-7693 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356762553 | Edward D Conner Md PC | Pediatrics | 112 Gleneagles Cir, Macon, GA 31210-2943 | 2013-12-16 |
| 1962832444 | Georgia Neonatology LLC | Pediatrics | 124 Bradford Dr, Macon, GA 31210-1267 | 2013-11-19 |
| 1124348826 | Suneeti Gupta | Pediatrics | 5901 Peachtree Dunwoody Rd # C, Suite C 65, Atlanta, GA 30328-5382 | 2010-06-03 |
| 1225266745 | Jack Gibson Gray | Pediatrics | 135 Tamerlane, Peachtree City, GA 30269-2700 | 2009-06-23 |
| 1528201027 | Sarita A. Patel | Pediatrics | 5901 Peachtree Dunwoody Rd, Suite B 420, Atlanta, GA 30328-5382 | 2009-04-13 |
| 1679730501 | Marietta Neonatology, P.C. | Pediatrics | 800 Kennesaw Ave Nw, Suite 200, Marietta, GA 30060-1051 | 2008-05-19 |
| 1598959124 | Danielle Cecelia Giliberti Kallmyer | Pediatrics | 1428 Markan Dr Ne, Atlanta, GA 30306-2305 | 2007-08-27 |
| 1477750818 | Angela Marie Fagiana | Pediatrics | 4750 Waters Ave Ste 206, Savannah, GA 31404-6278 | 2007-06-29 |
| 1710060256 | William Ranson Laforce | Pediatrics | 315 Boulevard Ne Ste 500, Atlanta, GA 30312-1266 | 2006-10-20 |
| 1518047877 | Heidi Eigenrauch Karpen | Pediatrics | Emory Childrens Center Neonatology, 2015 Uppergate Drive Ne, Atlanta, GA 30322-1014 | 2006-10-17 |
| Find all providers with the same taxonomy | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30046 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.