MEDICARE: DR. ANDREW JOSEPH THOMPSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	39533	SC
2	207P00000X	Emergency Medicine Physician	N7359	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SC89249068	OTHER	SC	MEDICARE PIN
5	SC89248510	OTHER	SC	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	280228202	OTHER	TX	CSHCN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073719100
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW JOSEPH THOMPSON M.D.

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-522-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	701 GROVE RD FL 1
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605
Country	:	US
Telephone Number	:	864-455-7899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/25/2007
Last Update Date	:	04/16/2026

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Directions to “ DR. ANDREW JOSEPH THOMPSON M.D.” Practice Location

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