Individual provider Active NPI

Timothy G Murphy, DO

  • Family Medicine Physician
  • Wilmington, NC
National Provider Identifier
1194748327
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200000910 Issued in NC
Practice address
1709 S 16TH St
Ste a
Wilmington, NC 28401-6429
Phone
(910) 452-8633
Fax
(910) 452-8569
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 256371 NY
Family Medicine Physician 207Q00000X 200000910 NC Primary

Addresses

Primary practice location

1709 S 16TH St
Ste a
Wilmington, NC 28401-6429

Mailing address

PO Box 15109
Wilmington, NC 28408-5109
Phone (910) 392-2525

Other identifiers 2

IdentifierTypeStateIssuer
127GWOtherNCBLUE CROSS & BLUE SHIELD
89127GWMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040206000818 NC Practitioner - Family Practice 6002709573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senior Health Associates, P.a.Group PAC ID 6406867191, 15 clinicians
Snowy Mountain Management PLLCGroup PAC ID 6800980327, 3 clinicians

Practice addresses (Care Compare)

1984 S 16TH St
Suite 1
Wilmington, NC 28401-6674
Phone (910) 452-8633

2632 Carolina Beach Rd
Suite 3
Wilmington, NC 28412-1806
Phone (910) 794-3939

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000910NCMDFamily Medicine Physician
256371NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Health Associates, P.a. Family Medicine CurrentSince Aug 28, 2023 Accepting new patients
Louisburg Hma Physician Management, LLC Family Medicine Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients
Columbus Regional Health Network Family Medicine Past Accepting new patients
Cherokee Indian Hospital Authority Past Accepting new patients

Locations

1709 S 16th St
Ste A
Wilmington, NC 28401
Phone (910) 452-8633

1984 S 16th St
Ste 1
Wilmington, NC 28401
Phone (910) 452-8633

Interoperability endpoints

  • Direct secure messaging: tmurphy812136@direct.novanthealth.org

Organizations & group practices 6

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 1

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1194748327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15109",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284085109",
            "telephone_number": "910-392-2525",
            "fax_number": "910-392-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 S 16TH ST",
            "address_2": "STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016429",
            "telephone_number": "910-452-8633",
            "fax_number": "910-452-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "TIMOTHY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "256371",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "127GW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127GW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.