| Paul W Thompson, MD | |
|
601 S Veterans Blvd, Glennville, GA 30427-1775 | |
| (912) 739-0475 | |
| (912) 654-0486 |
| Full Name | Paul W Thompson |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 601 S Veterans Blvd, Glennville, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265515019 | NPI | - | NPPES |
| P00379312 | Other | RAILROAD MEDICARE | |
| 612221074F | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 054519 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Vidalia, GA | Home health agency |
| Chsga Home Health | Vidalia, GA | Home health agency |
| Kindred At Home | Statesboro, GA | Home health agency |
| Altamaha Homecare, Inc | Baxley, GA | Home health agency |
| Evans Memorial Hospital | Claxton, GA | Hospital |
| Meadows Regional Medical Center | Vidalia, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Medical Group | 7113828609 | 7 |
| Thompson Medical Associates Llc | 7618462201 | 2 |
| Entity Name | Southern Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447339015 PECOS PAC ID: 7113828609 Enrollment ID: O20040116001029 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul W Thompson, MD 601 S Veterans Blvd, Glennville, GA 30427-1775 Ph: (912) 654-0475 | Paul W Thompson, MD 601 S Veterans Blvd, Glennville, GA 30427-1775 Ph: (912) 739-0475 |
Roger W Beville, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 B. North Veterans Boulevard, Glennville, GA 30427 Phone: 912-654-4599 Fax: 912-644-5260 |