Active NPI
Tracy M Timony, MD LLC
- Internal Medicine Physician
- Rock Hill, SC
National Provider Identifier
1528389350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15793
- Legal business name
- TRACY M TIMONY, MD LLC
- Practice address
- 430 S Herlong Ave
Rock Hill, SC 29732-9446 - Phone
- (803) 324-4008
- NPI assigned
- Jun 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy M Timony
- Title
- Owner
- Phone
- (803) 324-4008
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15793 | SC | Primary |
Addresses
Primary practice location
430 S Herlong Ave
Rock Hill, SC 29732-9446
Mailing address
430 S Herlong Ave
Rock Hill, SC 29732-9446
Phone (803) 324-4008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1665 Herlong Ct
Rock Hill, SC 29732
Phone (803) 324-1028
430 Herlong Ave S
Ste 102
Rock Hill, SC 29732
Phone (803) 324-8004
Interoperability endpoints
- https://api.platform.athenahealth.com/15159/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282780800000",
"number": "1528389350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 S HERLONG AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297329446",
"telephone_number": "803-324-4008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 S HERLONG AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297329446",
"telephone_number": "803-324-4008"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRACY M TIMONY, MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-16",
"last_updated": "2010-08-26",
"status": "A",
"authorized_official_last_name": "TIMONY",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "803-324-4008"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "SC",
"license": "15793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.