Timothy Longaker, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

025883 Issued in GA

Practice address

777 Hemlock St
HB 64
Macon, GA 31201-2102

Phone

(478) 633-2097

Fax

(478) 633-7836

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Careconnect Health IncGroup PAC ID 7810980794, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caresouth, an Affiliate of Crisp Reg Hospital Home health agency, Cordele, GA, CCN 117309
• Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
• Crisp Regional Hospital Hospital, Cordele, GA, CCN 110104

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tlongaker433625@carolinashealthcaresystem.direct-ci.com

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.

• Careconnect Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Richland, GA
  • NPI 1063436624
  Medicare reassignment Care Compare group
• The Medical Center of Central Georgia Inc.

  • Home Health Agency
  • Macon, GA
  • NPI 1831287655
  Medicare reassignment NPD
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  NPD
• Plains Medical Center, Inc,

  • Family Medicine Physician
  • Limon, CO
  • NPI 1245234525
  NPD (past)

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

• Crisp Regional Hospital Inc

  • General Acute Care Hospital
  • Cordele, GA
  • NPI 1700851649
  Care Compare affiliation
• Crisp Regional Hospital, Inc.

  • Home Health Agency
  • Cordele, GA
  • NPI 1376518118
  Care Compare affiliation
• The Medical Center of Central Georgia Inc

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1043270564
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386753754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 RIVOLI DOWNS DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108611",
            "telephone_number": "478-477-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HEMLOCK ST",
            "address_2": "HB 64",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312012102",
            "telephone_number": "478-633-2097",
            "fax_number": "478-633-7836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGAKER",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "025883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Logue
• Lawrence William Logue, R.PH.
• Sameer Lohana, M.D.
• Lokey Chiropractic Clinic PC
• Robert L Lokey, DC
• Tanya Crystal Looby
• Zachary David Lopater, MD
• Blanca Odalys Lopez, MD
• Leandrea Studstill Lopez, ACNP
• Michael Loraditch, PA

• Family Medicine Physician in Macon, GA
• Providers in Macon, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.