Timothy Neal Ozburn, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

047500 Issued in GA

Practice address

119 Maple St Ste 205
Carrollton, GA 30117-3259

Phone

(770) 834-0751

Fax

(770) 834-0753

NPI assigned

Apr 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

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 2

Specialty

Diagnostic Radiology

Education

Medical College of Georgia School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Georgia West Imaging PCGroup PAC ID 3577556521, 6 clinicians

Outpatient Imaging, LLCGroup PAC ID 8022029149, 20 clinicians

Gwinnett Clinic, LTDGroup PAC ID 9436061801, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Warm Springs Medical Center Hospital, Warm Springs, GA, CCN 111316

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Georgia West Imaging, PC

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1083689251
  Medicare reassignment Care Compare group NPD
• Gwinnett Clinic LTD

  • Multi-Specialty Clinic/Center
  • Duluth, GA
  • NPI 1629117650
  Medicare reassignment Care Compare group NPD
• Outpatient Imaging, LLC

  • Diagnostic Radiology Physician
  • Peachtree City, GA
  • NPI 1053386219
  Medicare reassignment Care Compare group NPD
• Griffin Imaging, LLC

  • Radiology Clinic/Center
  • Griffin, GA
  • NPI 1700199940

  Diagnostic Radiology

  Medicare reassignment NPD
• Griffin Imaging, LLC

  • Radiology Clinic/Center
  • Griffin, GA
  • NPI 1154884674

  Diagnostic Radiology

  NPD
• Gwinnett Clinic LTD

  • Community/Retail Pharmacy
  • Lawrenceville, GA
  • NPI 1558560326
  NPD
• Gwinnett Clinic, LTD

  • Multi-Specialty Clinic/Center
  • Suwanee, GA
  • NPI 1528212149
  NPD
• Riverside Imaging Specialists, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Macon, GA
  • NPI 1225376866
  NPD

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

• Meriwether Healthcare, L.L.C.

  • Critical Access Hospital
  • Warm Springs, GA
  • NPI 1972731800
  Care Compare affiliation

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1508989088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAPLE ST STE 205",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173259",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAPLE ST STE 205",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301173259",
            "telephone_number": "770-834-0751",
            "fax_number": "770-834-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZBURN",
        "first_name": "TIMOTHY",
        "middle_name": "NEAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "047500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "367686150A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00616749",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Timothy Oliver, R.PH.
• Maria Jocelyn Orig, MD
• Orthodontic Care of Georgia
• Jamie Dawn Owens
• Amber P Owensby
• Angela Crystal Pace, MA, LPC
• Paced Medical Clinic, LLC
• Justice Page
• Hermogenes Pagsisihan, M.D.
• Emily Painter, PTA

• Diagnostic Radiology Physician in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.