Active NPI
James H Tinley, MD
- Specialist
- Sandersville, GA
National Provider Identifier
1104904523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 055346
- Practice address
- 610 Sparta Rd
Sandersville, GA 31082-1860 - Phone
- (478) 240-2000
- Fax
- (478) 240-2020
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 055346 | GA | Primary |
Addresses
Primary practice location
610 Sparta Rd
Sandersville, GA 31082-1860
Mailing address
610 Sparta Rd
Sandersville, GA 31082-1860
Phone (478) 240-2000
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000552 | GA | MD | Professional Counselor |
| 055346 | GA | MD | Specialist |
| 552 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Washington County | Current | Accepting new patients | |
| Hospital Authority of Washington County | Current | Accepting new patients | |
| Ohoopee River Emergency Physicians | Past | Accepting new patients |
Locations
610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000
Organizations & group practices 3
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.
-
- Rural Acute Care Hospital
- Sandersville, GA
- NPI 1396770004
-
- Physical Therapy Clinic/Center
- Sandersville, GA
- NPI 1528619491
-
- Emergency Medicine Physician
- Swainsboro, GA
- NPI 1417192428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104904523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 SPARTA RD",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821860",
"telephone_number": "478-240-2000",
"fax_number": "478-240-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SPARTA RD",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "310821860",
"telephone_number": "478-240-2000",
"fax_number": "478-240-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINLEY",
"first_name": "JAMES",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "055346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.