Individual provider Active NPI

Timothy Lee McHatton, PA

  • Physician Assistant
  • Boone, NC
National Provider Identifier
1730120346
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101387 Issued in NC
Practice address
381 Deerfield Rd
Boone, NC 28607-5009
Phone
(828) 262-3733
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101387 NC Primary

Addresses

Primary practice location

381 Deerfield Rd
Boone, NC 28607-5009

Mailing address

5806 Prosperity Church Rd
Charlotte, NC 28269-1138
Phone (704) 277-2730

Other identifiers 1

IdentifierTypeStateIssuer
142227129OtherNCNIPP

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
101387NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed Urgent Care PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1730120346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 PROSPERITY CHURCH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691138",
            "telephone_number": "704-277-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 DEERFIELD RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075009",
            "telephone_number": "828-262-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHATTON",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NIPP",
            "identifier": "142227129",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.