EVAN MICHAEL THOMPSON NURSE PRACTITIONER
NPI 1598523557
Nurse Practitioner - Family in Kennesaw, GA

Active since March 13, 2024PECOS EnrolledAccepts Medicare Assignment
4069 CHEROKEE ST NW STE 400, KENNESAW, GA 30144(470) 766-1193 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Evan Michael Thompson Nurse Practitioner NPPES

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

EVAN MICHAEL THOMPSON NURSE PRACTITIONER (NPI 1598523557) is an individual family provider in Kennesaw, Georgia, licensed in Georgia (RN295468) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Marietta, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1598523557
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEVAN MICHAEL THOMPSONCredential: NURSE PRACTITIONER
Location Address4069 CHEROKEE ST NW STE 400Kennesaw, GA 30144-1278
Mailing Address4655 Shallowford RdRoswell, GA 30075-3127
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 13, 2024
Last NPPES UpdateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1598523557 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 · RN295468
4069 CHEROKEE ST NW STE 400, Kennesaw, GA 30144

Secondary Practice Location 1

Location 13481 Ernest W Barrett Pkwy SWMarietta, GA 30064-2703 · Phone (678) 384-5119

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Evan Michael Thompson Nurse Practitioner 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 ID749724284
PECOS Enrollment IDI20240626000542
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Evan Thompson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
6440 BELLS FERRY RD
Woodstock, GA 30189
  • Reassigned Medicare billing, Georgia enrollment
  • 23 clinicians in this Medicare group
Urgent Care
3481 ERNEST BARRETT PKWY
Marietta, GA 30064
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Georgia enrollment
  • 551 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30144 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.

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 Evan Thompson's NPI number?

The NPI number for Evan Thompson is 1598523557. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Where is Evan Thompson located?

Evan Thompson practices at 4069 Cherokee St NW Ste 400, Kennesaw, GA 30144. The listed phone number is (470) 766-1193.

What is Evan Thompson's specialty?

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

Is Evan Thompson enrolled in Medicare?

Yes. Evan 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.

Which organizations bill Medicare for Evan Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Evan Thompson reassigns Medicare benefits to 3 organizations: AFC Physicians Of Georgia, PC (Woodstock, GA), AFC Physicians Of Georgia Urgent Care, PC (Marietta, GA) and Peachtree Immediate Care Fp, LLC (Hiram, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Evan Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Evan Thompson was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.