Active NPI
Davis Scott Timbert, M.D.
- Surgery Physician
- Stockbridge, GA
National Provider Identifier
1508867664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- GA037404
- Practice address
- 1240 Eagles Landing Pkwy
Suite 280
Stockbridge, GA 30281-5170 - Phone
- (770) 507-5055
- Fax
- (770) 507-5880
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | GA037404 | GA | Primary |
Addresses
Primary practice location
1240 Eagles Landing Pkwy
Suite 280
Stockbridge, GA 30281-5170
Mailing address
1240 Eagles Landing Pkwy
Suite 280
Stockbridge, GA 30281-5170
Phone (770) 507-5055
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA037404 | GA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483315200000",
"number": "1508867664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1240 EAGLES LANDING PKWY",
"address_2": "SUITE 280",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815170",
"telephone_number": "770-507-5055",
"fax_number": "770-507-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 EAGLES LANDING PKWY",
"address_2": "SUITE 280",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302815170",
"telephone_number": "770-507-5055",
"fax_number": "770-507-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMBERT",
"first_name": "DAVIS",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2017-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "GA037404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
- Fredrick Antonia Thrasher, PHD, LPC, NCC
- Tiamoi Prestige Services LTD Co
- Tie on a Passer Surgical First Assisting LLC
- Tiffany Starnes Counseling Inc
- Shakeva Tiller, PMHNP
- Tiny Planet Counseling Inc
- Tiny Talkers Therapy Services, Inc.
- TLC Underground Trucking LLC
- Cherrele Antonyl Todd
- Kellie Elizabeth Tomlinson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.