Timothy W. Pickens, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

27519 Issued in TN

Practice address

11645 Highway 51 S Ste 103
Atoka, TN 38004-2001

Phone

(901) 407-2221

Fax

(901) 407-2300

NPI assigned

Jan 25, 2020

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in MS, TN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Hering Medical College, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ortho Express Holding Company, LLCGroup PAC ID 1951724392, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beacon Home Health Home health agency, Memphis, TN, CCN 447277
• Baptist Memorial Hospital Tipton Hospital, Covington, TN, CCN 440131

Merit-based Incentive Payment System (MIPS)

Final score

85.85 of 100Reported as group

Quality

82.18

Promoting interoperability

92

Improvement activities

40

Cost

74.55

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothy.w.pickens.3@11099.direct.athenahealth.com

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.

• Orthoxpress Holdings, LLC

  • Medical Specialty Clinic/Center
  • Tupelo, MS
  • NPI 1780218289

  Nurse Practitioner, TN

  Medicare reassignment Care Compare group NPD
• Spartan Orthopaedics, LLC

  • Orthopaedic Surgery Physician
  • New Albany, MS
  • NPI 1972791978

  Nurse Practitioner

  Medicare reassignment NPD
• Ortho Express Holding Company, LLC

  dba OrthoXpress of Memphis

  • Nurse Practitioner
  • Memphis, TN
  • NPI 1326821687
  NPD
• Ortho Express Holding Company LLC

  dba OrthoXpress of Corinth

  • Nurse Practitioner
  • Corinth, MS
  • NPI 1649748252
  NPD
• Ortho Express Holding Company, LLC

  dba OrthoXpress of Holly Springs

  • Physician Assistant
  • Holly Springs, MS
  • NPI 1629596804

  Nurse Practitioner

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Tennessee, LLC

  dba Amedisys Home Health

  • Home Health Agency
  • Memphis, TN
  • NPI 1114975539
  Care Compare affiliation
• Baptist Memorial Hospital-Tipton

  • General Acute Care Hospital
  • Covington, TN
  • NPI 1316901937
  Care Compare affiliation

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

{
    "created_epoch": "1579910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1265062541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 OXFORD RD",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386523115",
            "telephone_number": "662-534-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 HIGHWAY 51 S STE 103",
            "city": "ATOKA",
            "state": "TN",
            "postal_code": "380042001",
            "telephone_number": "901-407-2221",
            "fax_number": "901-407-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523115",
            "country_code": "US",
            "telephone_number": "662-534-2227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6518 Goodman Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Olive Branch",
            "state": "MS",
            "postal_code": "386549809",
            "country_code": "US",
            "telephone_number": "662-420-7350",
            "fax_number": "662-534-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICKENS",
        "first_name": "TIMOTHY",
        "middle_name": "W.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-25",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "27519",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.w.pickens.1@11099.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6518 Goodman Rd Ste 104",
            "city": "Olive Branch",
            "state": "MS",
            "country_code": "US",
            "postal_code": "386549809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.w.pickens.1@11099.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11645 Highway 51 S Ste 103",
            "city": "Atoka",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380042001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Elizabeth Marie Otasowie, FNP-BC
• Paula R Pairmore, PHARM.D.
• Randall T Paul
• Amanda Peery, FNP-BC
• Danielle Spencer Petersen, DPT, PT
• Dana Poisal, DC
• Samuel E Poisal IV, DC
• Sarah Pope, PHARMD
• Erika Webb Posey, FNP-C
• Positive Impact Behavioral Services

• Nurse Practitioner in Atoka, TN
• Providers in Atoka, TN by specialty
• Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.