Timothy Clayton Dickey, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

17305 Issued in TN

Practice address

927 N James Campbell Blvd
Suite 105
Columbia, TN 38401-2753

Phone

(931) 388-5114

Fax

(931) 388-5631

NPI assigned

Feb 15, 2013

Last updated

Mar 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Alabama School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maury Regional Medical Group, IncGroup PAC ID 7911810742, 119 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maury Regional Hospital Hospital, Columbia, TN, CCN 440073
• Marshall Medical Center Hospital, Lewisburg, TN, CCN 441309
• Wayne Medical Center Hospital, Waynesboro, TN, CCN 440780

Merit-based Incentive Payment System (MIPS)

Final score

69.45 of 100Reported as group

Quality

42.88

Promoting interoperability

77

Improvement activities

40

Cost

74.45

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Maury Regional Medical Group, Inc

  • Family Medicine Physician
  • Columbia, TN
  • NPI 1205886264
  Medicare reassignment Care Compare group NPD
• Mid-South Gastroenterology Assoc PC

  • Anesthesiology Physician
  • Columbia, TN
  • NPI 1770718405
  Medicare reassignment NPD
• Maury Regional Hospital Marshall Medical Center

  dba MRMG Spring HIll

  • Rural Health Clinic/Center
  • Spring Hill, TN
  • NPI 1548889850
  NPD
• Mid-South Gastroenterology Assoc PC

  • Gastroenterology Physician
  • Columbia, TN
  • NPI 1336104280
  NPD
• Family Health Group Inc

  • Family Medicine Physician
  • Spring Hill, TN
  • NPI 1487604799
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maury Regional Hospital

  dba Lewis Ambulatory Care Center

  • Clinic/Center
  • Hohenwald, TN
  • NPI 1023038122

  Hospital

  Care Compare affiliation
• Maury Regional Hospital

  dba Wayne Medical Center

  • General Acute Care Hospital
  • Waynesboro, TN
  • NPI 1811927544
  Care Compare affiliation
• Maury Regional Hospital

  dba Maury Regional Medical Center

  • General Acute Care Hospital
  • Columbia, TN
  • NPI 1861479545
  Care Compare affiliation
• Maury Regional Hospital Marshall Medical Center

  dba Marshall Medical Center

  • Critical Access Hospital
  • Lewisburg, TN
  • NPI 1578591756
  Care Compare affiliation

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

{
    "created_epoch": "1360886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363564800000",
    "number": "1750621579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD",
            "address_2": "SUITE 200",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "931-388-5114",
            "fax_number": "931-388-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N JAMES CAMPBELL BLVD",
            "address_2": "SUITE 105",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012753",
            "telephone_number": "931-388-5114",
            "fax_number": "931-388-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "TIMOTHY",
        "middle_name": "CLAYTON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-15",
        "last_updated": "2013-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Dewey-Mighell, LAT, ATC
• Varun Choudary Dhulipala, M.D.
• Dialysis Associates LLC (Fresenius Medical Care Columbia Tennessee)
• Alyssa Dickerson, DO
• Stanley M Dickerson, O.D.
• James Lewis Dickson, D.D.S.
• Danielle Diefenbach
• Amanda Colette Dierking
• Rochelle Denise Diestelkamp, CCC-SLP
• Brett Dillard, DDS

• Family Nurse Practitioner in Columbia, TN
• Providers in Columbia, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.