PROF. DARREL W THOMPSON (RN 12088NP) – Nurse Practitioner, NPI 1063548923

PROF. DARREL W THOMPSON (RN 12088NP) is a healthcare provider. based in Macon, Georgia. specializing in Nurse Practitioner. They hold the professional credentials RN 12088NP. They hold a License No. RN 12088NP (GA). The NPI Number for PROF. DARREL W THOMPSON (RN 12088NP) is 1063548923

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
PROF. DARREL W THOMPSON (RN 12088NP)
NPI
1063548923
Phone
(478) 471-2783
Address
100 COLLEGE STATION DR
Enumeration Date
26 February 2007
Last Update Date
13 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4788457462
Graduation Year
1999 (27 years ago)
PAC ID
0042512808
Group Practice PAC ID
7214294016
Professional Enrollment ID
I20160111001936
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for PROF. DARREL W THOMPSON (RN 12088NP)

  • 100 COLLEGE STATION DR

    MACON, GA 312065100

    Phone: (478) 471-2783

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160111001936INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31206)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214294016View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to PROF. DARREL W THOMPSON (RN 12088NP)?
NPI 1063548923 is assigned to PROF. DARREL W THOMPSON (RN 12088NP) under the national enumeration system.
Is PROF. DARREL W THOMPSON (RN 12088NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize PROF. DARREL W THOMPSON (RN 12088NP)'s specialty in plain language?
Clinically, the directory lists PROF. DARREL W THOMPSON (RN 12088NP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place PROF. DARREL W THOMPSON (RN 12088NP)?
The snapshot lists Macon, Georgia for PROF. DARREL W THOMPSON (RN 12088NP); download NPPES for the complete set.
Is PROF. DARREL W THOMPSON (RN 12088NP) a real provider?
This page reflects official NPPES data for NPI 1063548923. Always confirm identity and privileges with the practice and licensing boards.

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