NPIMap

Individual provider Active NPI

Timothee Trevevant Wilkin, D.O., P.A.

  • Family Medicine Physician
  • White Hall, AR
National Provider Identifier
1225188121
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E1340 Issued in AR
Practice address
7300 Dollarway Rd
White Hall, AR 71602-3094
Phone
(870) 247-7088
Fax
(870) 247-7089
NPI assigned
Jan 11, 2007
Last updated
Feb 28, 2024By the provider in NPPES
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
Family Medicine Physician 207Q00000X E1340 AR Primary

Addresses

Primary practice location

7300 Dollarway Rd
White Hall, AR 71602-3094

Mailing address

PO Box 497
Augusta, AR 72006-0497
Phone (870) 347-2534

Other practice location 1

5201 Fairfield Rd
Pine Bluff, AR 71601-9405
Phone (870) 541-5742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040427001129 AR Practitioner - Family PracticePractitioner - Emergency Medicine 7810984390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ArcareGroup PAC ID 2567370620, 249 clinicians

Practice addresses (Care Compare)

180 Medical Park PL
Suite 102
Hot Springs, AR 71901-8066
Phone (501) 521-1942

401 E St
Arcare 51
Texarkana, AR 71854-6507
Phone (870) 216-0829

406 Rodgers Dr
Searcy, AR 72143-7433
Phone (501) 279-7979

623 N 9TH St
Augusta, AR 72006-2129
Phone (870) 347-2534

8924 Kanis Rd
Little Rock, AR 72205-6414
Phone (501) 455-2712

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
E1340ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Dec 31, 2023 Accepting new patients
Arcare CurrentSince Dec 31, 2023 Accepting new patients
St. Anthony's Hospital Association Past Accepting new patients
St. Anthony's Hospital Association Past Accepting new patients
Arkansas Heart Hospital Rural Health Services, LLC Past Accepting new patients
Arcare Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

623 N 9th St
#40
Augusta, AR 72006

1600 W Holland Ave
Ste 202
White Hall, AR 71602
Phone (870) 850-8055

Interoperability endpoints

  • Direct secure messaging: timothee.wilkin@arcare.directbygreenway.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1225188121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "AUGUSTA",
            "state": "AR",
            "postal_code": "720060497",
            "telephone_number": "870-347-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 DOLLARWAY RD",
            "city": "WHITE HALL",
            "state": "AR",
            "postal_code": "716023094",
            "telephone_number": "870-247-7088",
            "fax_number": "870-247-7089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Fairfield Rd",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716019405",
            "country_code": "US",
            "telephone_number": "870-541-5742",
            "fax_number": "224-352-5416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKIN",
        "first_name": "TIMOTHEE",
        "middle_name": "TREVEVANT",
        "name_prefix": "Dr.",
        "credential": "D.O., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E1340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Hall, AR

Sources for this page

Verify at the official NPI Registry.