Organization Active NPI

Tim'S Home Medical of St Mary'S, Inc

  • Durable Medical Equipment & Medical Supplies
  • Saint Marys, GA
National Provider Identifier
1285071969
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TIM'S HOME MEDICAL OF ST MARY'S, INC
Practice address
685 Kingsbay Rd
Saint Marys, GA 31558-3889
Phone
(912) 882-7227
Fax
(912) 882-8827
NPI assigned
Jun 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Timothy Lee Sloan
Title
Owner
Phone
(912) 294-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

685 Kingsbay Rd
Saint Marys, GA 31558-3889

Mailing address

685 Kingsbay Rd
Saint Marys, GA 31558-3889
Phone (912) 882-7227

Other names 3

  • Jones Medical Equipment Doing business as
  • Tim's Home Medical St. Mary's LLC Doing business as
  • Richard Bradham INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131016000564 GA DME Supplier - Medical Supply Company 8628202165 Practice locations: Saint Marys, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tim'S Home Medical St. Mary'S, LLC.685 Kingsbay Rd, Saint Marys, GA 31558-3889(912) 882-7227 Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Insulin Infusion Pumps and/or Supplies|Pneumatic Compression Devices and/or Supplies|Speech Generating Devices|Support Surfaces: Pressure Reducing Beds/Mats/Pa… Accepts assignmentParticipating since Aug 16, 2013

National Provider Directory

National Provider Directory

Locations

4445 Highway 40
Ste 403
Saint Marys, GA 31558

735 Kingsbay Rd
Saint Marys, GA 31558
Phone (912) 673-7777

685 Kingsbay Rd
Saint Marys, GA 31558
Phone (912) 882-7227

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1285071969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 KINGSBAY RD",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583889",
            "telephone_number": "912-882-7227",
            "fax_number": "912-882-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 KINGSBAY RD",
            "city": "SAINT MARYS",
            "state": "GA",
            "postal_code": "315583889",
            "telephone_number": "912-882-7227",
            "fax_number": "912-882-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM'S HOME MEDICAL OF ST MARY'S, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-294-1284"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jones Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tim's Home Medical St. Mary's LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Richard Bradham INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Saint Marys, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.