Active NPI
Timothy Arnold Cummins, D.C.
- Chiropractor
- Bethlehem, GA
National Provider Identifier
1417017757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5331
- Practice address
- 916 Loganville Hwy Ste 1110
Bethlehem, GA 30620-2150 - Phone
- (678) 963-0127
- NPI assigned
- Dec 9, 2006
- Last updated
- Dec 23, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR010600 | GA | |
| Chiropractor | 111N00000X | 5331 | CO | Primary |
Addresses
Primary practice location
916 Loganville Hwy Ste 1110
Bethlehem, GA 30620-2150
Mailing address
1815 Silver Oak Dr
Bethlehem, GA 30620-4532
Phone (303) 913-4904
Other practice location 1
15236 E Hampden Ave
Aurora, CO 80014-3908
Phone (720) 747-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204004008 | Other | CO | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR010600 | GA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iwc Georgia, Inc | Chiropractor | Current | Accepting new patients |
| Iwcga Monroe LLC | Chiropractor | Current | Accepting new patients |
| The Vitality Group LLC | Chiropractor | Past | Accepting new patients |
Locations
916 Loganville Hwy
Ste 1110
Bethlehem, GA 30620
Phone (303) 913-4904
Organizations & group practices 3
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.
-
- Chiropractor
- Bethlehem, GA
- NPI 1205503760
-
- Chiropractor
- Monroe, GA
- NPI 1932034352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640217600000",
"number": "1417017757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 SILVER OAK DR",
"city": "BETHLEHEM",
"state": "GA",
"postal_code": "306204532",
"telephone_number": "303-913-4904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 LOGANVILLE HWY STE 1110",
"city": "BETHLEHEM",
"state": "GA",
"postal_code": "306202150",
"telephone_number": "678-963-0127"
}
],
"practiceLocations": [
{
"address_1": "15236 E Hampden Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800143908",
"country_code": "US",
"telephone_number": "720-747-5333",
"fax_number": "303-671-7247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUMMINS",
"first_name": "TIMOTHY",
"middle_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-09",
"last_updated": "2021-12-23",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010600",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "5331",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "204004008",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.