NIKITA MARIE THOMPSON
NPI 1003538117
Social Worker - Clinical in Johnson City, TN

Q: What is Nikita Thompson's NPI number?

The NPI number for Nikita Thompson is 1003538117. It was assigned to this individual provider in the NPPES registry on September 15, 2022. The provider is also known as Nikita Marie Mccord.

Q: What is Nikita Thompson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Nikita Thompson was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 15, 2022PECOS Enrolled

917 W WALNUT ST, JOHNSON CITY, TN 37604(423) 439-6464(423) 439-7118 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2025, Sep 15, 2022 (2 updates tracked since 2022).

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About Nikita Marie Thompson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKITA MARIE THOMPSON (NPI 1003538117) is an individual clinical provider in Johnson City, Tennessee, licensed in Tennessee (9952) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1003538117

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNIKITA MARIE THOMPSON

Location Address917 W WALNUT STJohnson City, TN 37604-6527

Mailing AddressPo Box 699Mountain Home, TN 37684-0699

Phone(423) 439-6464

Fax(423) 439-7118

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 15, 2022

Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration

NPPES CertifiedDecember 18, 2025

✔ NPI 1003538117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in TN · 9952

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

917 W WALNUT ST, Johnson City, TN 37604

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Other Names 1

Former Name (1)Nikita Marie Mccord

Other Identifiers 1

MedicaidQ109067TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikita Marie Thompson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062906266

PECOS Enrollment IDI20251215003413

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $52.64 – $160.89

Typical copayment $0.00 (range $13.16 – $40.22)

Most-billed visit code NA

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MEDICAL EDUCATION ASSISTANCE CORPORATION

Family Medicine