JUSTIN PAUL THOMPSON – Certified Registered Nurse Anesthetist, NPI 1114756962

JUSTIN PAUL THOMPSON is a healthcare provider. based in Evans, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. APRN-CRNA238780 (GA). The NPI Number for JUSTIN PAUL THOMPSON is 1114756962

Main info

Male
1 Year Of Experience
Name
JUSTIN PAUL THOMPSON
NPI
1114756962
Phone
(706) 306-0422
Address
2028 EGRET CIR
Enumeration Date
30 July 2024
Last Update Date
15 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7068559860
Graduation Year
2025 (1 year ago)
PAC ID
9335637073
Group Practice PAC ID
6204905763
Professional Enrollment ID
I20251023002777
Address ID
GA309096521AU3651XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for JUSTIN PAUL THOMPSON

  • 2028 EGRET CIR

    EVANS, GA 308094354

    Phone: (706) 306-0422

    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: 2025-10-23

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
I20251023002777ICertified Registered Nurse Anesthetist (Crna)GATBD

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 30809)

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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: 6204905763View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YMD
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

Is JUSTIN PAUL THOMPSON listed with a National Provider Identifier?
Yes — JUSTIN PAUL THOMPSON has NPI 1114756962 on file in the registry.
Active or inactive — what applies to JUSTIN PAUL THOMPSON?
You should see JUSTIN PAUL THOMPSON as active in CMS-hosted NPPES data.
What kind of doctor is JUSTIN PAUL THOMPSON?
JUSTIN PAUL THOMPSON is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for JUSTIN PAUL THOMPSON?
Travel planning: use Evans, Georgia as the reference point for JUSTIN PAUL THOMPSON, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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