Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evan Michael Thompson, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1598523557

Evan Michael Thompson, NURSEPRACTITIONER is a Nurse Practitioner in Kennesaw, Georgia. Qualified in 2023, 3 years ago. Practices with Peachtree Immediate Care Fp, LLC, a 326-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
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Practice location Address checks out

4069 Cherokee St NW Ste 400
Kennesaw, GA 30144-1278
Phone: (470) 766-1193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3481 Ernest W Barrett Pkwy Sw, Marietta, GA 30064-2703 — (678) 384-5119

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN295468 (GA)

Record details

NPI number1598523557
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address4655 Shallowford Rd, Roswell, GA 30075-3127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Peachtree Immediate Care Fp, Llc — 326 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kennesaw