CASEY JASON THOMPSON MD
NPI 1720831548
General Practice in Eglin Afb, FL

Q: What is Casey Thompson's NPI number?

The NPI number for Casey Thompson is 1720831548. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Q: What is Casey Thompson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Casey Thompson was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 April 10, 2024PECOS Enrolled

307 BOATNER RD, EGLIN AFB, FL 32542(850) 883-8288 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Dec 3, 2025, Apr 10, 2024 (2 updates tracked since 2024).

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About Casey Jason Thompson Md NPPES

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

CASEY JASON THOMPSON MD (NPI 1720831548) is an individual general practice provider in Eglin Afb, Florida, licensed in Michigan (4301515573) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720831548

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameCASEY JASON THOMPSONCredential: MD

Location Address307 BOATNER RDEglin Afb, FL 32542-1302

Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302

Phone(850) 883-8288

Sole ProprietorNo

Enumeration DateApril 10, 2024

Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1720831548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in MI · 4301515573

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

307 BOATNER RD, Eglin Afb, FL 32542

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Jason Thompson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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