Individual provider Active NPI

Timothy Chad Ehmer, DC

  • Chiropractor
  • Hiram, GA
National Provider Identifier
1689332660
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010656 Issued in GA
Practice address
47 Highland Pavilion CT
Hiram, GA 30141-4261
Phone
(770) 439-6997
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010656 GA Primary

Addresses

Primary practice location

47 Highland Pavilion CT
Hiram, GA 30141-4261

Mailing address

2133 Highway 317 Ste 12-318
Suwanee, GA 30024-2648
Phone (678) 730-6240

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

LicenseStateTypeSpecialty
CHIR010656GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Regenerative Healthcare LLC Past Accepting new patients
Optimum Health Rehab of Hiram LLC Chiropractor 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, 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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1689332660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 HIGHWAY 317 STE 12-318",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242648",
            "telephone_number": "678-730-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HIGHLAND PAVILION CT",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301414261",
            "telephone_number": "770-439-6997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHMER",
        "first_name": "TIMOTHY",
        "middle_name": "CHAD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.