Individual provider Active NPI

Timothy A. Newsome

  • Family Nurse Practitioner
  • Cameron, NC
National Provider Identifier
1205293479
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5008508 Issued in NC
Practice address
243 Checkmate CT
Cameron, NC 28326-0019
Phone
(910) 401-7782
NPI assigned
Jan 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5008508 NC
Family Nurse Practitioner 363LF0000X 5008508 NC Primary

Addresses

Primary practice location

243 Checkmate CT
Cameron, NC 28326-0019

Mailing address

243 Checkmate CT
Cameron, NC 28326-0019
Phone (910) 401-7782

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240319000685 NC Practitioner - Nurse Practitioner 8628415221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Curative Mind Health, PLLCGroup PAC ID 7719324318, 2 clinicians

Practice addresses (Care Compare)

137 Person St
Suite 103
Fayetteville, NC 28301-5891
Phone (910) 401-7782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008508NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curative Mind Health PLLC Psychiatric/Mental Health CurrentSince Mar 4, 2024 Accepting new patients

Locations

137 Person St
Ste 103
Fayetteville, NC 28301
Phone (910) 401-7782

2911 Breezewood Ave
Ste 201
Fayetteville, NC 28303
Phone (910) 483-1811

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": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1205293479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 CHECKMATE CT",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283260019",
            "telephone_number": "910-401-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 CHECKMATE CT",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283260019",
            "telephone_number": "910-401-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "TIMOTHY",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-19",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5008508",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5008508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cameron, NC

Sources for this page

Verify at the official NPI Registry.