MRS. GEORGINA ANGELINE THOMPSON NP
NPI 1356865570
Nurse Practitioner - Family in Tyrone, GA

Active since July 30, 2017PECOS EnrolledAccepts Medicare Assignment
110 LLOYD AVE, TYRONE, GA 30290(770) 486-1200 Get Directions Write a Review

NPPES record last updated: July 30, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Georgina Angeline Thompson Np NPPES

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

MRS. GEORGINA ANGELINE THOMPSON NP (NPI 1356865570) is an individual family provider in Tyrone, Georgia, licensed in Georgia (RN192331) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1356865570
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GEORGINA ANGELINE THOMPSONCredential: NP
Location Address110 LLOYD AVETyrone, GA 30290-2124
Mailing Address75 Corn Crib DrNewnan, GA 30263-6073 · (407) 234-9932
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 30, 2017
NPI 1356865570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN192331
110 LLOYD AVE, Tyrone, GA 30290

Other Names 1

Former Name (1)Georgina Angeline Threatt

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Georgina Angeline Thompson Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4587910047
PECOS Enrollment IDI20180713000744
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 30290 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 3

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

Nurse Practitioner (Family)
110 LLOYD AVE
TYRONE, GA 30290
Nurse Practitioner
110 LLOYD AVE
TYRONE, GA 30290
Family Medicine
110 LLOYD AVE
TYRONE, GA 30290

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgina Thompson's NPI number?

The NPI number for Georgina Thompson is 1356865570. It was assigned to this individual provider in the NPPES registry on July 30, 2017. The provider is also known as Georgina Angeline Threatt.

Where is Georgina Thompson located?

Georgina Thompson practices at 110 Lloyd Ave, Tyrone, GA 30290. The listed phone number is (770) 486-1200.

What is Georgina Thompson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Georgina Thompson enrolled in Medicare?

Yes. Georgina Thompson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Georgina Thompson was last updated on July 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.