Kevin Timperman
Individual provider Active NPI Surgery Physician · Claxton, GA
NPI 1477050243 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1477050243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 96267 (GA)
- Practice address
- 604A E Long St
Claxton, GA 30417-5914 - Phone
- (912) 739-7710
- NPI assigned
- Apr 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
604 E Long St
Suite a
Claxton, GA 30417-5914
Phone (912) 739-7710
Hospital & facility affiliations
- Evans Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 41 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 37 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230814003156 | GA | Practitioner - General Surgery | 1153663018 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10498 | GA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union General Affiliated Services, LLC | Surgery | Current |
Accepting new patients |
| Evans Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Union County Hospital Authority | Current |
Accepting new patients | |
| Union General Affiliated Services, LLC | Current |
Accepting new patients | |
| Union County Hospital Authority | Current |
Accepting new patients | |
| Evans Memorial Hospital, Inc. | Current | Accepting new patients | |
| Evans Memorial Hospital | Surgery | Current |
Accepting new patients |
| Wendy L Smith M.D. PC | Past | Accepting new patients |
Locations
35 Hospital Rd
Blairsville, GA 30512
Phone (706) 439-6812
123 Weaver Rd
#A
Blairsville, GA 30512
Phone (706) 745-9417
604 E Long St
#A
Claxton, GA 30417
Phone (912) 355-8000
200 N River St
Claxton, GA 30417
Phone (912) 739-2611
604A E Long St
Claxton, GA 30417
Phone (912) 739-2611
110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 96267 | GA | Yes |
Addresses
Primary practice location
604A E Long St
Claxton, GA 30417-5914
Mailing address
604A E Long St
Claxton, GA 30417-5914
Phone (912) 739-7710
Other practice location 1
4700 Waters Ave
Savannah, GA 31404-6220
Phone (912) 350-8598
Other practice location 2
4700 Waters Avenus
Surgery Residency Program, MHUMC
Savannah, GA 31404
Phone (912) 350-8598
Other providers in Claxton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.