NPIMap

Individual provider Active NPI

Timothy Crater, MD

  • Internal Medicine Physician
  • Winchester, TN
National Provider Identifier
1508845876
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58508 Issued in TN
Practice address
2118 Cowan Hwy
Winchester, TN 37398-2637
Phone
(931) 962-4040
NPI assigned
Jan 13, 2006
Last updated
Feb 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 04-29083 KS
Internal Medicine Physician 207R00000X 58508 TN Primary

Addresses

Primary practice location

2118 Cowan Hwy
Winchester, TN 37398-2637

Mailing address

2118 Cowan Hwy
Winchester, TN 37398-2637
Phone (931) 962-4040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address timothy.crater@lpnt.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190114001111 TN Practitioner - Internal Medicine 0446285951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 5991765943, 54 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-29083KSMDInternal Medicine Physician
58508TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amg-Southern Tennessee LLC Current Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Nov 1, 2021 Accepting new patients
Vanderbilt Integrated Providers, LLC CurrentSince Feb 9, 2021 Accepting new patients
Hutchinson Clinic, P.a., Inc. Current Accepting new patients
Amg-Southern Tennessee LLC CurrentSince Nov 1, 2021 Accepting new patients
Hutchinson Clinic, P.a., Inc. Current Accepting new patients
Vanderbilt Integrated Providers, LLC Internal Medicine CurrentSince Feb 9, 2021 Accepting new patients
Amg-Southern Tennessee LLC Past Accepting new patients
Amg -Southern Tennessee LLC Internal Medicine Past Accepting new patients
The Dialysis Center of Hutchinson, LLC PastSince Aug 6, 2007 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

2118 Cowan Hwy
Winchester, TN 37398
Phone (931) 962-4040

83 Memorial Dr
Winchester, TN 37398
Phone (931) 967-3966

Interoperability endpoints

  • Direct secure messaging: timothy.crater.1@19363.direct.athenahealth.com
  • Direct secure messaging: timothy.crater@lpnt.net

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1508845876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 COWAN HWY",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982637",
            "telephone_number": "931-962-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 COWAN HWY",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373982637",
            "telephone_number": "931-962-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRATER",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-29083",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "58508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.crater@lpnt.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2118 Cowan Hwy",
            "city": "Winchester",
            "state": "TN",
            "country_code": "US",
            "postal_code": "373982637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

Verify at the official NPI Registry.