Individual provider Active NPI

Timothy Finley, DO

  • Anesthesiology Physician
  • Jesup, GA
National Provider Identifier
1679658652
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
072191 Issued in GA
Practice address
865 S 1St St
Jesup, GA 31545-0210
Phone
(912) 427-6811
NPI assigned
Oct 26, 2006
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MB07591000 NJ
Anesthesiology Physician 207L00000X 072191 GA Primary

Addresses

Primary practice location

865 S 1St St
Jesup, GA 31545-0210

Mailing address

PO Box 2585
Columbus, GA 31902-2585
Phone (706) 660-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 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

Enrollment IDStateProvider typePAC IDDetails
I20040318000619 NJ Practitioner - Anesthesiology 1052201480 Reassigns benefits to 1 organization
I20240530000900 FL Practitioner - Anesthesiology 1052201480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Alliance Anesthesia of Florida PLLCGroup PAC ID 3476927203, 11 clinicians

Practice addresses (Care Compare)

104 Lincoln Ave
Hawthorne, NJ 07506-1436
Phone (973) 427-6800

5645 S Military TRL
Lake Worth, FL 33463-6978
Phone (833) 964-1135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB07591000NJMDSpecialist
072191GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Alliance Anesthesia of Florida, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Shamrock Anesthesia Associates PC Anesthesiology Current Accepting new patients
Hawthorn Anesthesia LLC Anesthesiology CurrentSince Sep 12, 2018 Accepting new patients

Locations

5645 S Military Trl
Lake Worth, FL 33463
Phone (561) 689-4500

865 S 1st St
Jesup, GA 31545
Phone (912) 427-6811

104 Lincoln Ave
Hawthorne, NJ 07506
Phone (973) 427-6800

550 Reserve St
Ste 560
Southlake, TX 76092

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1679658652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2585",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319022585",
            "telephone_number": "706-660-8505",
            "fax_number": "706-660-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "865 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450210",
            "telephone_number": "912-427-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINLEY",
        "first_name": "TIMOTHY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MB07591000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "072191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jesup, GA

Sources for this page

Verify at the official NPI Registry.