Individual provider Active NPI

Timothy Chris Filkins

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1174047740
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN191137 Issued in GA
Practice address
1725 Electric Ave Ste 100D
Watkinsville, GA 30677-2608
Phone
(706) 518-6986
Fax
(855) 576-4188
NPI assigned
Jul 26, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN191137 GA
Family Nurse Practitioner 363LF0000X RN191137 GA Primary

Addresses

Primary practice location

1725 Electric Ave Ste 100D
Watkinsville, GA 30677-2608

Mailing address

1725 Electric Ave Ste 100D
Watkinsville, GA 30677-2608
Phone (706) 518-6986

Other practice location 1

1061 Dowdy Rd Ste 100
Athens, GA 30606-5700
Phone (706) 621-7575

Other practice location 2

283 E Broad St
Athens, GA 30601-2802
Phone (706) 621-7575 ext. 1050

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229001130 GA Practitioner - Nurse Practitioner 9739570763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castellum Medical Consultants LLCGroup PAC ID 3375968621, 4 clinicians

Practice addresses (Care Compare)

1725 Electric Ave
Suite 100D
Watkinsville, GA 30677-2608
Phone (706) 262-7319

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN191137GAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Castellum Medical Consultants LLC CurrentSince Dec 13, 2021 Accepting new patients

Locations

1725 Electric Ave
Ste 100D
Watkinsville, GA 30677
Phone (706) 518-6986

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22260/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1174047740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 ELECTRIC AVE STE 100D",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772608",
            "telephone_number": "706-518-6986",
            "fax_number": "855-576-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 ELECTRIC AVE STE 100D",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306772608",
            "telephone_number": "706-518-6986",
            "fax_number": "855-576-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Dowdy Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306065700",
            "country_code": "US",
            "telephone_number": "706-621-7575",
            "fax_number": "706-621-7575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "283 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306012802",
            "country_code": "US",
            "telephone_number": "706-621-7575 x1050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FILKINS",
        "first_name": "TIMOTHY",
        "middle_name": "CHRIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN191137",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN191137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.