Timothy Crater, MD
Individual provider Active NPI Internal Medicine Physician · Winchester, TN
NPI 1508845876 · NPPES record last updated Feb 8, 2023
Key facts
- NPI
- 1508845876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 58508 (TN)
- Practice address
- 2118 Cowan Hwy
Winchester, TN 37398-2637 - Phone
- (931) 962-4040
- NPI assigned
- Jan 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amg-Southern Tennessee LLC
Practice addresses (Care Compare)
2118 Cowan Hwy
Winchester, TN 37398-2637
Phone (931) 962-4040
81 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-0450
83 Memorial Dr
Winchester, TN 37398-2401
Phone (931) 967-3966
Hospital & facility affiliations
- Amedisys Home Care
- Adoration Home Health, LLC
- Enhabit Home Health
- Southern Tennessee Regional Health System Winchest
- Vanderbilt Tullahoma-Harton Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- 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 |
|---|---|---|---|---|
| I20190114001111 | TN | Practitioner - Internal Medicine | 0446285951 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-29083 | KS | MD | Internal Medicine Physician |
| 58508 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amg-Southern Tennessee LLC | Current | Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Amg-Southern Tennessee LLC | Current |
Accepting new patients | |
| Amg-Southern Tennessee LLC | Current |
Accepting new patients | |
| Vanderbilt Integrated Providers, LLC | Current |
Accepting new patients | |
| Hutchinson Clinic, P.a., Inc. | Current | Accepting new patients | |
| Vanderbilt Integrated Providers, LLC | Internal Medicine | Current |
Accepting new patients |
| The Dialysis Center of Hutchinson, LLC | Past |
Accepting new patients | |
| Amg-Southern Tennessee LLC | Past | Accepting new patients | |
| Amg -Southern Tennessee LLC | Internal Medicine | Past | Accepting new patients |
Locations
2101 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500
1400 Willow Dr
Manchester, TN 37355
Phone (931) 409-2194
719 Thompson Ln
Ste 30330
Nashville, TN 37204
Phone (615) 936-3871
1805 N Jackson St
Ste 100
Tullahoma, TN 37388
Phone (931) 455-7767
83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966
2118 Cowan Hwy
Winchester, TN 37398
Phone (931) 962-4040
Interoperability endpoints
- timothy.crater.1@19363.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-29083 | KS | |
| Internal Medicine Physician | 207R00000X | 58508 | TN | Yes |
Addresses
Primary practice location
2118 Cowan Hwy
Winchester, TN 37398-2637
Mailing address
2118 Cowan Hwy
Winchester, TN 37398-2637
Phone (931) 962-4040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q00181273 | Other | TN | MEDICARE |
| Q045257 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | timothy.crater@lpnt.net | Direct |
Other providers in Winchester, TN
- Comprehensive Home Healthcare Services LLC
- Valerie D Cortis
- Courtney Murray, DO, PC
- Rick Blair Courtney
- Cowan Family Medicine, PLLC
- Crista Lynne Crittenden
- Cumberland Health Care Group PLLC
- Cumberland Healthcare Group PLLC
- Cumberland Healthcare Group PLLC
- Cumberland Healthcare Group, PLLC
All providers in Winchester, TN · Internal Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 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.