Healthcare Provider Details

I. General information

NPI: 1023750767
Provider Name (Legal Business Name): KAROLINE MARIE THOMPSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 WENDOVER HEIGHTS DR
SHELBY NC
28150-3565
US

IV. Provider business mailing address

PO BOX 470408
CHARLOTTE NC
28247-0408
US

V. Phone/Fax

Practice location:
  • Phone: 704-487-4677
  • Fax:
Mailing address:
  • Phone: 704-375-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number2026-03600
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number94778
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: