Individual provider Active NPI

Timothy Stevens Hanes, M.D.

  • Diagnostic Radiology Physician
  • Marietta, GA
National Provider Identifier
1104804301
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
047758 Issued in GA
Practice address
790 Church St NE Ste 400
Marietta, GA 30060-8957
Phone
(770) 405-2976
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 047758 GA Primary

Addresses

Primary practice location

790 Church St NE Ste 400
Marietta, GA 30060-8957

Mailing address

PO Box 3157
Indianapolis, IN 46206-3157
Phone (770) 405-2976

Other practice location 1

5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342-1764
Phone (404) 257-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040527000608 GA Practitioner - Diagnostic Radiology 5395726111 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Emory University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Radiology PCGroup PAC ID 4385543230, 105 clinicians
Pro Radiology LLCGroup PAC ID 1052696432, 112 clinicians

Practice addresses (Care Compare)

1170 Cleveland Ave
East Point, GA 30344-3615
Phone (678) 239-0420

1625 Hospital N Dr
Suite 150
Austell, GA 30106-8111
Phone (770) 944-0466

2540 Windy Hill Rd SE
Marietta, GA 30067-8605
Phone (770) 732-4000

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

60 Lacy St NW
Marietta, GA 30060-1112
Phone (770) 793-7800

60 Peachtree Park Dr NE
Suite 100
Atlanta, GA 30309-1304
Phone (678) 278-8800

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5000

925 Sanders Rd
Suite B
Cumming, GA 30041-7945
Phone (678) 513-0500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
047758GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M & B Imaging, PC Diagnostic Radiology CurrentSince Mar 19, 2018 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jan 1, 2016 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients
City of Hope Medical Group of Georgia LLC Diagnostic Radiology CurrentSince Oct 20, 2012 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 1, 2016 Accepting new patients
Pro Radiology, LLC CurrentSince Jul 21, 2024 Accepting new patients
Quantum Radiology, PC Diagnostic Radiology CurrentSince Mar 14, 2016 Accepting new patients
Emory Medical Care Foundation Inc Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Jun 26, 2018 Accepting new patients
Clinch County Hospital Authority CurrentSince Feb 28, 2014 Accepting new patients
Diagnostic Systems Inc Diagnostic Radiology PastSince Jan 1, 2019 Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 Accepting new patients

Locations (25 of 66)

4550 Cobb Parkway North NW
Ste 109
Acworth, GA 30101
Phone (470) 956-0079

2450 Old Milton Pkwy
Alpharetta, GA 30009
Phone (470) 267-0360

12460 Crabapple Rd
Alpharetta, GA 30004
Phone (678) 762-0574

5655 Atlanta Hwy
Alpharetta, GA 30004
Phone (770) 691-0819

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

3730 Carmia Dr SW
Ste 110
Atlanta, GA 30331
Phone (404) 344-7286

3890 Redwine Rd SW
Ste 104
Atlanta, GA 30331
Phone (404) 629-4700

60 Peachtree Park Dr NE
#100
Atlanta, GA 30309
Phone (678) 278-8800

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1025 E West Connector
Ste 520
Austell, GA 30106
Phone (678) 273-3071

1680 Hospital South Dr
Austell, GA 30106
Phone (678) 945-2100

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1625 Hospital North Dr
Austell, GA 30106
Phone (770) 732-6950

1501 Milstead Rd NE
Ste 140
Conyers, GA 30012

925 Sanders Rd
Cumming, GA 30041
Phone (404) 567-6500

120 Greystone Power Blvd
Dallas, GA 30157
Phone (470) 267-1540

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

6001 Professional Pkwy
Douglasville, GA 30134
Phone (404) 274-7335

6002 Professional Pkwy
Ste 260
Douglasville, GA 30134
Phone (470) 644-5411

4244 Washington Rd
Evans, GA 30809
Phone (706) 619-1869

307 W Robinson Ave
Grovetown, GA 30813

148 Bill Carruth Pkwy
Ste LL20
Hiram, GA 30141
Phone (770) 443-7700

144 Bill Carruth Pkwy
Hiram, GA 30141

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

1120 Wellstar Way
Holly Springs, GA 30114

Organizations & group practices 12

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 5

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1104804301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157",
            "telephone_number": "770-405-2976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608957",
            "telephone_number": "770-405-2976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5665 Peachtree Dunwoody Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421764",
            "country_code": "US",
            "telephone_number": "404-257-2450",
            "fax_number": "404-256-3271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANES",
        "first_name": "TIMOTHY",
        "middle_name": "STEVENS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "047758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.