Active NPI
Eric Timmons Sr.
- Driver
- Jonesboro, GA
National Provider Identifier
1629416060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 049691899
- Practice address
- 8964 Habersham Dr
Jonesboro, GA 30238-4446 - Phone
- (678) 698-0270
- NPI assigned
- Jun 7, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | 049691899 | GA | Primary |
Addresses
Primary practice location
8964 Habersham Dr
Jonesboro, GA 30238-4446
Mailing address
8964 Habersham Dr
Jonesboro, GA 30238-4446
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049691899 | GA | MD | Driver |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Da Dip Foundation | Past | Accepting new patients | |
| A2Bee Transportation LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Non-emergency Medical Transport (VAN)
- Jonesboro, GA
- NPI 1205276763
-
- Non-emergency Medical Transport (VAN)
- Jonesboro, GA
- NPI 1205121894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376524800000",
"number": "1629416060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8964 HABERSHAM DR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302384446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8964 HABERSHAM DR",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302384446",
"telephone_number": "678-698-0270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMONS",
"first_name": "ERIC",
"name_suffix": "Sr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-07",
"last_updated": "2013-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "GA",
"license": "049691899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.