DR. JILL ELLEN THOMPSON MD NPI 1518940790

NPI Information

NPI: 1518940790
Provider Name: DR. JILL ELLEN THOMPSON, MD
Classification: Preventive Medicine - 2083A0300X
Specialization: Addiction Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 1574 UNION RD
GASTONIA, NC
ZIP 28054
Phone: (704) 865-9114

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NPI Details

DR. Jill Ellen Thompson, MD is an addiction medicine preventive medicine in Gastonia, NC. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Jill Ellen Thompson, MD NPI is 1518940790. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1574 UNION RD
GASTONIA, NC
ZIP 28054-633
Phone: (704) 865-9114
Fax: (704) 865-9115

The NPI 1518940790 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/22/2005 and was last updated on 5/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083A0300X	Preventive Medicine	Addiction Medicine	63046	TENNESSEE	No
2	2085N0700X	Radiology	Neuroradiology	9300608	NORTH CAROLINA	No
3	208VP0014X	Pain Medicine	Interventional Pain Medicine	9300608	NORTH CAROLINA	No
4	2083A0300X	Preventive Medicine	Addiction Medicine	9300608	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N0060A	MEDICAID	SOUTH CAROLINA
2	8983308	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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