Individual provider Active NPI

Tracy M Timony, M.D.

  • Legal Medicine
  • Rock Hill, SC
National Provider Identifier
1063404945
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MD15793 Issued in SC
Practice address
430 S. Herlong Ave Ste 102
Rock Hill, SC 29732
Phone
(803) 324-8004
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X 15793 SC
Internal Medicine Physician 207R00000X 15793 SC
Legal Medicine 173000000X MD15793 SC Primary

Addresses

Primary practice location

430 S. Herlong Ave Ste 102
Rock Hill, SC 29732

Mailing address

1665 Herlong CT Ste a
Rock Hill, SC 29732
Phone (803) 324-8004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025001408 SC Practitioner - Internal Medicine 3173716966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers New Jersey Medical School, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cora South Carolina LLCGroup PAC ID 3173766334, shared by 6 NPIs, 220 clinicians

Practice addresses (Care Compare)

1665 Herlong CT
Suite a
Rock Hill, SC 29732-1193
Phone (803) 324-8004

851 Heckle Blvd
Suite 115
Rock Hill, SC 29730-2806
Phone (839) 388-0908

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15793SCMDLegal Medicine
MD15793SCMDLegal Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy M Timony, MD LLC Internal Medicine CurrentSince Jul 26, 2010 Accepting new patients

Locations

1665 Herlong Ct
Rock Hill, SC 29732
Phone (803) 324-1028

1665 Herlong Ct
#A
Rock Hill, SC 29732
Phone (803) 324-8004

430 Herlong Ave S
Ste 102
Rock Hill, SC 29732
Phone (803) 324-8004

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15159/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tracy.timony.1@15159.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1063404945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 HERLONG CT STE A",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-324-8004",
            "fax_number": "803-323-6472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S. HERLONG AVE STE 102",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "29732",
            "telephone_number": "803-324-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMONY",
        "first_name": "TRACY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "SC",
            "license": "15793",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "15793",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "SC",
            "license": "MD15793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.