Active NPI
Timothy C Simpson, MD
- Emergency Medicine Physician
- Atlanta, GA
National Provider Identifier
1740254812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 047365
- Practice address
- 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606 - Phone
- (404) 851-6936
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 047365 | GA | Primary |
Addresses
Primary practice location
1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
Mailing address
PO Box 2968
Kennesaw, GA 30156-9117
Phone (770) 779-0015
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000825954G | Medicaid | GA | |
| 10959 | Other | GA | KAISER |
| 000825954 | Medicaid | GA | |
| 000825954F | Medicaid | GA | |
| 598848 | Other | GA | BCBS OF GEORGIA |
| 10038151 | Other | GA | AMERIGROUP |
| 333412 | Other | GA | WELLCARE OF GEORGIA |
| 198024 | Other | GA | BCBS OF GEORGIA |
| 0000012586 | Other | GA | 1ST MEDICAL NETWORK |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047365 | GA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1740254812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2968",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301569117",
"telephone_number": "770-779-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 JOHNSON FERRY RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421606",
"telephone_number": "404-851-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMPSON",
"first_name": "TIMOTHY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "GA",
"license": "047365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000825954G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "10959",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000825954",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000825954F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GEORGIA",
"identifier": "598848",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10038151",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE OF GEORGIA",
"identifier": "333412",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF GEORGIA",
"identifier": "198024",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1ST MEDICAL NETWORK",
"identifier": "0000012586",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.