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

Philip Clark Thompson

Individual provider Registered Nurse · NPI 1417618554

Philip Clark Thompson is a Certified Registered Nurse Anesthetist (CRNA) in Madison, Tennessee. Qualified in 2024, 2 years ago. Practices with Main Street Anesthesia of New Mexico, LLC, a 228-clinician group and accepts Medicare assignment. Licensed in New Mexico and Tennessee.

Years since qualifying
2
Licensed in
NM, TN
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

315 Hospital Dr
Madison, TN 37115-5030
Phone: (615) 868-6503
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 82742 (NM)
Registered Nurse Taxonomy 163W00000X · Licence 227368 (TN)

Record details

NPI number1417618554
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 30, 2021
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address315 Hospital Dr, Madison, TN 37115-5030

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Main Street Anesthesia Of New Mexico, Llc — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Madison