Kevin Timperman

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

96267 Issued in GA

Practice address

604A E Long St
Claxton, GA 30417-5914

Phone

(912) 739-7710

NPI assigned

Apr 9, 2018

Last updated

Aug 4, 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 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

General Surgery

Education

Wright State University Boonshoft School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evans Memorial Hospital IncGroup PAC ID 0749262905, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Evans Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Claxton, GA
  • NPI 1730110826
  Medicare reassignment Care Compare group NPD
• Union County Hospital Authority

  dba Union General Hospital

  • General Acute Care Hospital
  • Blairsville, GA
  • NPI 1487684122
  Medicare reassignment NPD
• Union General Affiliated Services, LLC

  • Specialist
  • Blairsville, GA
  • NPI 1902305063

  Surgery

  Medicare reassignment NPD
• Evans Memorial Hospital

  dba Surgical Associates

  • Surgery Physician
  • Claxton, GA
  • NPI 1093915589
  NPD
• Evans Memorial Hospital, Inc.

  • Psychiatric Hospital Unit
  • Claxton, GA
  • NPI 1861926438
  NPD
• Union County Hospital Authority

  dba Union General ENT Solutions

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1669923744
  NPD
• Union General Affiliated Services, LLC

  dba Chatuge Behavioral Care

  • Neurology Physician
  • Hiawassee, GA
  • NPI 1568841567
  NPD
• Wendy L Smith M.D. PC

  • Otolaryngology Physician
  • Blairsville, GA
  • NPI 1184880338
  NPD (past)

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

• Evans Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Claxton, GA
  • NPI 1730110826
  Care Compare affiliation

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

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1477050243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604A E LONG ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304175914",
            "telephone_number": "912-739-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604A E LONG ST",
            "city": "CLAXTON",
            "state": "GA",
            "postal_code": "304175914",
            "telephone_number": "912-739-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Waters Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314046220",
            "country_code": "US",
            "telephone_number": "912-350-8598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Waters Avenus",
            "address_2": "Surgery Residency Program, MHUMC",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-350-8598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMPERMAN",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-09",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "96267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tattnall Hospital Company, LLC (Optim Medical Center Tattnall Claxton)
• Raymundo V Teheng, MD
• The Griffin House, LLC
• Justin Thomas
• Shantel L Thomas
• Daniel Michael Tootle, RPH
• Walgreen Co (Walgreens #17046)
• Christian Walker, DMD
• Amber Durrence Wasson, PHARMD
• Brandi Tyson Watson, FNP-C

• Surgery Physician in Claxton, GA
• Providers in Claxton, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.