Individual provider Active NPI

Timothy Scott Stinson, FNP

  • Family Nurse Practitioner
  • Thomasville, GA
National Provider Identifier
1235791518
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220355 Issued in GA
Practice address
100 S Madison St
Thomasville, GA 31792-5473
Phone
(229) 236-0831
NPI assigned
Jul 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 220355 GA Primary

Addresses

Primary practice location

100 S Madison St
Thomasville, GA 31792-5473

Mailing address

2079 Ga Highway 202
Meigs, GA 31765-4046

Other practice location 1

2079 Ga Highway 202
Meigs, GA 31765-4046
Phone (229) 798-2216

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
I20191206001343 GA Practitioner - Nurse Practitioner 9133026859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southland Behavioral Health Services LLCGroup PAC ID 8224469085, 9 clinicians

Practice addresses (Care Compare)

2209 Pineview Dr
Valdosta, GA 31602-7316
Phone (229) 236-0831

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220355GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Behavioral Health Services LLC CurrentSince May 1, 2020 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Oct 1, 2019 Accepting new patients

Locations

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

100 S Madison St
Thomasville, GA 31792
Phone (229) 221-9552

2209 Pineview Dr
Valdosta, GA 31602
Phone (229) 247-4357

Organizations & group practices 2

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1235791518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2079 GA HIGHWAY 202",
            "city": "MEIGS",
            "state": "GA",
            "postal_code": "317654046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MADISON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925473",
            "telephone_number": "229-236-0831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2079 Ga Highway 202",
            "address_purpose": "LOCATION",
            "city": "Meigs",
            "state": "GA",
            "postal_code": "317654046",
            "country_code": "US",
            "telephone_number": "229-798-2216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STINSON",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-08",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "220355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

Verify at the official NPI Registry.