David Alan Timm, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

10207 Issued in MS

Practice address

308 Highland Blvd
Natchez, MS 39120-4611

Phone

(601) 442-7676

Fax

(601) 442-9590

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.timm@drtimmpac.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric & Adolescent Clinic LLC

  • Rural Health Clinic/Center
  • Natchez, MS
  • NPI 1952163206

  Pediatrics

  NPD Authorized official
• Pediatric & Adolescent Clinic of Louisiana LLC

  • Rural Health Clinic/Center
  • Vidalia, LA
  • NPI 1346092038

  Pediatrics

  NPD Authorized official
• Natchez Hospital Company LLC

  • General Acute Care Hospital
  • Natchez, MS
  • NPI 1164821559
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1023194867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-7676",
            "fax_number": "601-442-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-7676",
            "fax_number": "601-442-9590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 M.L.K. Jr Rd",
            "address_purpose": "LOCATION",
            "city": "Natchez",
            "state": "MS",
            "postal_code": "39120",
            "country_code": "US",
            "telephone_number": "601-442-7676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMM",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "016299",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MS",
            "license": "10207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1349011",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114041",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Thomas
• Chasity Thompson, LCSW-BACS
• Elizabeth M Thompson, DPT
• Lashawn Thompson
• Leslie S Thompson, LCSW
• Trend Health and Rehab of Natchez, LLC
• Misty S. Tuccio, MS, CCC-SLP
• Sam C Tumminello, MD
• Cleopathia Campbell Turner, FNP-C
• Judea Turner

• Pediatrics Physician in Natchez, MS
• Providers in Natchez, MS by specialty
• Pediatrics Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.