Individual provider Active NPI

Timothy James Littmann, MD

  • Family Medicine Physician
  • Dadeville, AL
National Provider Identifier
1477050680
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
40764 Issued in AL
Practice address
301 Mariarden Rd
Dadeville, AL 36853-6254
Phone
(568) 257-8712
NPI assigned
Apr 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40764 AL Primary

Addresses

Primary practice location

301 Mariarden Rd
Dadeville, AL 36853-6254

Mailing address

625 19TH St S
Birmingham, AL 35233-1900
Phone (256) 551-4433

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210625001584 AL Practitioner - Family Practice 1456752690 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Alabama School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ivy Creek of Tallapoosa LLCGroup PAC ID 8123938719, 13 clinicians
Ivy Creek Family Care of Lake MartinGroup PAC ID 6103281977, 17 clinicians

Practice addresses (Care Compare)

201 Mariarden Rd
Dadeville, AL 36853-6244
Phone (256) 825-7821

5959 Hwy 49 S
Unit K
Dadeville, AL 36853-6745
Phone (256) 825-7871

Hospital & facility affiliations

  • Lake Martin Home Health Home health agency, Dadeville, AL, CCN 017117
  • Lake Martin Community Hospital Hospital, Dadeville, AL, CCN 010052
  • The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Creek of Elmore, LLC CurrentSince Apr 24, 2023 Accepting new patients
Ivy Creek of Tallapoosa LLC Family Medicine CurrentSince Jun 21, 2021 Accepting new patients
Ivy Creek of Elmore, LLC Family Medicine CurrentSince Apr 24, 2023 Accepting new patients
Ivy Creek of Tallapoosa, LLC CurrentSince Jun 21, 2021 Accepting new patients
Ivy Creek Family Care of Lake Martin Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Ivy Creek of Tallapoosa Past Accepting new patients
Ivy Creek of Tallapoosa, LLC Family Medicine Past Accepting new patients

Locations

201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677

301 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-7871

301 Mariarden Rd
Ste B
Dadeville, AL 36853
Phone (256) 825-7164

301 Mariarden Rd
Ste D
Dadeville, AL 36853
Phone (256) 825-7871

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

500 Hospital Dr
Ste B
Wetumpka, AL 36092
Phone (334) 567-4311

Interoperability endpoints

  • Direct secure messaging: timothy.littmann@lmf.direct.medconnecthealth.com
  • Direct secure messaging: timothy.littmann@lmfmed.direct.medconnect-inc.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1477050680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 19TH ST S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331900",
            "telephone_number": "256-551-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MARIARDEN RD",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368536254",
            "telephone_number": "568-257-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTMANN",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "40764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dadeville, AL

Sources for this page

Verify at the official NPI Registry.