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MR. WILLIE THOMPSON JR. M.D.
NPI 1760892830
Psychiatry & Neurology - Psychiatry in Jackson, MS

Active since April 29, 2014PECOS Enrolled
514 E WOODROW WILSON AVE STE A-B, JACKSON, MS 39216(601) 321-2234 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 2, 2023, Apr 17, 2019 (2 updates tracked since 2019).

About Mr. Willie Thompson Jr. M.d. NPPES

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

MR. WILLIE THOMPSON JR. M.D. (NPI 1760892830) is an individual psychiatry provider in Jackson, Mississippi, licensed in Mississippi (31482) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1760892830
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMR. WILLIE THOMPSON JR.Credential: M.D.
Location Address514 E WOODROW WILSON AVE STE A-BJackson, MS 39216-4538
Mailing Address3502 W Northside DrJackson, MS 39213-4454 · (601) 362-5321
Phone(601) 321-2234
Sole ProprietorNo
Enumeration DateApril 29, 2014
Last NPPES UpdateOctober 2, 20232 updates tracked since enumeration
NPPES CertifiedOctober 2, 2023
✔ NPI 1760892830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MS · 31482
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
514 E WOODROW WILSON AVE STE A-B, Jackson, MS 39216
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Secondary Practice Locations 2

Location 11501 Kings HwyShreveport, LA 71103-4228 · Phone (318) 626-2445
Location 2807 University Pky,Johnson City, TN 37614 · Phone (423) 439-2225 · Fax (423) 439-2250

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Willie Thompson Jr. M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Willie Thompson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Mississippi Civic Improvement Association, Inc.
1.0 mi
Federally Qualified Health Center (FQHC)
350 WOODROW WILSON BLVD
Jackson, MS 39213
  • Reassigned Medicare billing, Mississippi enrollment
  • 69 clinicians in this Medicare group
NPI 1427377266 (601) 362-5321

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 39216 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
$159.18 typical visit price
range $51.65 – $159.18
Typical copayment $39.79 (range $12.91 – $39.79)
Most-billed visit code 99205
Established Patient
$64.96 typical visit price
range $16.15 – $129.61
Typical copayment $16.24 (range $4.03 – $32.40)
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.

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 Willie Thompson's NPI number?

The NPI number for Willie Thompson is 1760892830. It was assigned to this individual provider in the NPPES registry on April 29, 2014.

Where is Willie Thompson located?

Willie Thompson practices at 514 E Woodrow Wilson Ave Ste A-B, Jackson, MS 39216. The listed phone number is (601) 321-2234.

What is Willie Thompson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Willie Thompson enrolled in Medicare?

Yes. Willie Thompson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Willie Thompson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willie Thompson reassigns Medicare benefits to Central Mississippi Civic Improvement Association, Inc. (Jackson, MS). The 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 Willie Thompson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Willie Thompson accept?

Health plans from Molina Healthcare list Willie Thompson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willie Thompson was last updated on October 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.