BYRON A THOMPSON (NPI# 1740755719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740755719 |
| Entity Type | Individual |
| Full Name | BYRON A THOMPSON |
| Practice Address |
794 Mcdonough Rd Jackson GA 30233 |
| Mailing Address |
794 Mcdonough Rd Jackson GA 30233-1572 |
| Practice Telephone | 4704880388 |
| Practice Fax Number | 4704880026 |
| Mailing Telephone | 4704880388 |
| Mailing Fax Number | 4704880026 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1096 Kennesaw Due West Road, Kennesaw, GA 30152 | 4704880388 | 4704880026 |
| 601 S 8th St, Griffin, GA 302244213 | 4704880388 | 4704880026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447411160 | Byron Leonard Thompson Sr. | Military Hospital | Psc 827, Box 1000, Apo, AE 09617-9998 | 2008-06-25 |
| 1982729026 | Byron Thompson | Dentist | 9119 S Exchange Ave, Chicago, IL 60617-4225 | 2007-03-20 |
| 1891888343 | Byron Paschal Thompson | Emergency Medicine | 1968 Peachtree Road Nw, Atlanta, GA 30309 | 2006-10-02 |
| 1609973437 | Byron G Thompson | Neurological Surgery | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2006-09-20 |
| Street Address |
794 MCDONOUGH RD |
| City | JACKSON |
| State | GA |
| Zip Code | 30233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558330522 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 794 Mcdonough Rd, Jackson, GA 30233-1572 | 2006-03-14 |
| 1750789947 | Select Interventional Pain, PC | Pain Medicine | 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 | 2014-12-20 |
| 1306126529 | Jaimi Marie Norrell | Nurse Practitioner | 794 Mcdonough Rd, 111, Jackson, GA 30233-1572 | 2011-08-18 |
| 1992943195 | Dana B Bass Burch | Physician Assistant | 794 Mcdonough Rd, Suite 111, Jackson, GA 30233-1572 | 2009-01-26 |
| 1093963944 | South Georgia Treatment, Inc | Clinic/Center | 794 Mcdonough Rd, Jackson, GA 30233-1572 | 2008-09-04 |
| 1306019104 | Bennie R White Jr Md Inc | Clinic/Center | 794 Mcdonough Rd, Suite 105, Jackson, GA 30233-1572 | 2008-04-12 |
| 1306025630 | Derrell Levohn Leggett | Anesthesiology | 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 | 2007-11-02 |
| 1033329198 | Jackson Dialysis Center | Clinic/Center | 794 Mcdonough Rd, Suite 108, Jackson, GA 30233-1572 | 2007-05-23 |
| 1376575225 | Bennie R. White Jr. | Family Medicine | 794 Mcdonough Rd, Suite 105, Jackson, GA 30233-1572 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366800914 | Georgia Ophthalmologists LLC | Durable Medical Equipment & Medical Supplies | 860 W 3rd St, Jackson, GA 30233 | 2016-02-10 |
| 1306225057 | Young Dreaden | Nurse Practitioner | 2978 Hwy 36w, Jackson, GA 30233 | 2015-05-28 |
| 1609255520 | Neta J Roby | Nurse Practitioner | Hwy 36, Georgia Diagnostic Classification Prison, Jackson, GA 30233 | 2015-05-26 |
| 1033546098 | Henrietta Lindsay | Social Worker | 463-b Ernest Biles Dr, Jackson, GA 30233 | 2013-10-04 |
| 1255776993 | Gareth Gene Walker | Technician | 514 Covinton Street, Jackson, GA 30233 | 2013-05-08 |
| 1730489592 | Mary L. Melton | Licensed Practical Nurse | 463 Ernest Biles Dr., Jackson, GA 30233 | 2010-10-27 |
| 1083864250 | Chastity Moore Brown | Dentist | 1520 Lucky Street, Griffin, GA 30233 | 2008-09-24 |
| 1568661320 | Joseph Fowlkes | Internal Medicine | 2978 Highway 36 W, Jackson, GA 30233 | 2007-07-12 |
| 1942386289 | Butts County Board of Commissioners | Ambulance | 154 Sylvan Drive, Jackson, GA 30233 | 2006-10-30 |
| 1841238300 | Jackson Pharmacy Services | Pharmacy | 22 Mulberry St., Jackson, GA 30233 | 2006-06-04 |
| Find all providers in zip 30233 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1760098727 | Anna Marie Jones | Counselor | 32 Portsmouth St, Jackson, OH 45640-1622 | 2020-09-16 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1184184202 | Tracy Dawn Schuh | Counselor | 300 Morton St, Jackson, OH 45640-1028 | 2019-03-24 |
| 1013483858 | Bradley A Tompson | Counselor | 794 Mcdonough Rd Ste 100, Jackson, GA 30233-1572 | 2018-10-19 |
| 1295237048 | Impact Behavioral Counseling LLC | Counselor | 37 Sandstone Cir Ste 92b, Jackson, TN 38305-2089 | 2018-03-07 |
| 1942708920 | Candace R Downey | Counselor | 120 Twin Oaks Dr Unit D, Jackson, OH 45640-9506 | 2018-01-25 |
| 1508379462 | Vicki Lee Harper | Counselor | 295 Broadway St Ste 101, Jackson, OH 45640-1701 | 2017-11-14 |
| 1356867295 | Stephanie Michelle Gilbert | Counselor | 345 E Main St Ste A, Jackson, OH 45640-1780 | 2017-08-22 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| Find all providers in JACKSON | ||||
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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.