| Jonathan Richard Thompson, MD | |
|
1200 Memorial Dr, Dalton, GA 30720-2529 | |
| (706) 272-6282 | |
| Not Available |
| Full Name | Jonathan Richard Thompson |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1200 Memorial Dr, Dalton, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982635462 | NPI | - | NPPES |
| 4061474 | Other | TN | BCBS OF TENNESSEE |
| 027747593B | Medicaid | GA | |
| 027747593A | Medicaid | GA | |
| P00233185 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 052646 (Georgia) | Primary |
| Entity Name | Hamilton Medical Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528056066 PECOS PAC ID: 0446151179 Enrollment ID: O20040116000053 |
| Entity Name | Emergency Coverage Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
| Entity Name | Hamilton Physician Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235455569 PECOS PAC ID: 4789708553 Enrollment ID: O20100831000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Richard Thompson, MD P O Box 636019, Cincinnati, OH 45263-6019 Ph: (865) 292-3000 | Jonathan Richard Thompson, MD 1200 Memorial Dr, Dalton, GA 30720-2529 Ph: (706) 272-6282 |
Erin Nicole Graw, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
James Francis Wojcik, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-278-2105 Fax: 865-291-3228 | |
Jennifer Dark Starnes, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1508 N Thornton Ave, Dalton, GA 30720 Phone: 706-272-6158 | |
Jan Renee Mayfield, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-278-2105 Fax: 865-291-3228 | |
Shawn Holsonback, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-272-6000 | |
David E Ruiz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1107 Memorial Dr, Suite 201, Dalton, GA 30720 Phone: 706-277-7311 Fax: 706-529-4837 | |
Nedra R Dodds, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1200 Memorial Dr, Dalton, GA 30720 Phone: 706-278-2105 Fax: 865-291-3228 |