MS. VIVIAN GAINES-THOMPSON N.P.
NPI 1790197283
Nurse Practitioner - Family in Stone Mountain, GA

Q: What is Vivian Gaines-thompson's NPI number?

The NPI number for Vivian Gaines-thompson is 1790197283. It was assigned to this individual provider in the NPPES registry on June 2, 2014.

Q: What is Vivian Gaines-thompson's specialty?

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

Active since June 02, 2014PECOS Enrolled

1825 ROCKBRIDGE RD STE 15B, STONE MOUNTAIN, GA 30087(470) 444-3134(470) 276-4370 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2022, Apr 20, 2020, Jul 11, 2018 (3 updates tracked since 2018).

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About Ms. Vivian Gaines-thompson N.p. NPPES

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

MS. VIVIAN GAINES-THOMPSON N.P. (NPI 1790197283) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (GAA-NP000530) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790197283

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. VIVIAN GAINES-THOMPSONCredential: N.P.

Location Address1825 ROCKBRIDGE RD STE 15BStone Mountain, GA 30087-3306

Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730 · Fax (773) 866-8014

Phone(470) 444-3134

Fax(470) 276-4370

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 2, 2014

Last NPPES UpdateJanuary 4, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2022

✔ NPI 1790197283 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

Licenses✔ Licensed in GA · GAA-NP000530✔ Licensed in IN · 28103222A

1825 ROCKBRIDGE RD STE 15B, Stone Mountain, GA 30087

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Secondary Practice Locations 2

Location 1333 S Madison StMuncie, IN 47305-2465 · Phone (765) 286-7000 · Fax (765) 213-2769

Location 26401 E Washington StIndianapolis, IN 46219-6614 · Phone (317) 808-7085

Other Identifiers 1

OtherF0614489IN · Board Certification

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Vivian Gaines-thompson N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335364538

PECOS Enrollment IDI20140701002725

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 30087 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.

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Other Providers at the Same Location NPPES 16

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

MS. KENISHA FRANCISCO APRN

Nurse Practitioner (Family)