Active NPI
Timothy Alan Hatt, PA-C
- Medical Physician Assistant
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 8737
- Practice address
- 4441 Atlanta Rd SE Ste 216
Smyrna, GA 30080 - Phone
- (470) 956-4120
- NPI assigned
- Jun 17, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0110-004606 | VA | |
| Medical Physician Assistant | 363AM0700X | 8737 | GA | Primary |
Addresses
Primary practice location
4441 Atlanta Rd SE Ste 216
Smyrna, GA 30080
Mailing address
4441 Atlanta Rd SE Ste 216
Smyrna, GA 30080-6442
Phone (470) 956-4120
Other practice location 1
4211 Monarch Way
Norfolk, VA 23508-2540
Phone (757) 738-1350
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thatt343580@directwellstar.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
203 Woodpark PL C
Woodstock, GA 30188-3764
Phone (770) 926-4150
5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110-004606 | VA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Bon Secours Depaul Medical Center Inc | Past | Accepting new patients |
Locations
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
9420 Willeo Rd
Ste 206
Roswell, GA 30075
Phone (470) 235-4859
4441 Atlanta Rd SE
Ste 216
Smyrna, GA 30080
Phone (470) 956-4120
203 Woodpark Pl
Bldg C
Woodstock, GA 30188
Phone (770) 926-4150
Interoperability endpoints
- thatt343580@directwellstar.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Infectious Disease Physician
- Douglasville, GA
- NPI 1194078170
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1124438437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572912000000",
"number": "1285048371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4441 ATLANTA RD SE STE 216",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806442",
"telephone_number": "470-956-4120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 ATLANTA RD SE STE 216",
"city": "SMYRNA",
"state": "GA",
"postal_code": "30080",
"telephone_number": "470-956-4120"
}
],
"practiceLocations": [
{
"address_1": "4211 Monarch Way",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235082540",
"country_code": "US",
"telephone_number": "757-738-1350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HATT",
"first_name": "TIMOTHY",
"middle_name": "ALAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-17",
"last_updated": "2019-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "VA",
"license": "0110-004606",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "8737",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thatt343580@directwellstar.org",
"affiliation": "N",
"address_1": "4441 Atlanta Rd SE Ste 216",
"city": "Smyrna",
"state": "GA",
"country_code": "US",
"postal_code": "30080",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.