Individual provider Active NPI

Timothy K Tippett, OD

  • Optometrist
  • Augusta, GA
National Provider Identifier
1770575649
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1296-T Issued in GA
Practice address
2465 Wrightsboro Rd
Augusta, GA 30904-6244
Phone
(706) 738-1102
Fax
(706) 738-1149
NPI assigned
Aug 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA1296-T GA Primary

Addresses

Primary practice location

2465 Wrightsboro Rd
Augusta, GA 30904-6244

Mailing address

2465 Wrightsboro Rd
Augusta, GA 30904-6244
Phone (706) 738-1102

Other identifiers 1

IdentifierTypeStateIssuer
00618549AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000257 GA Practitioner - Optometry 4385768258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2465 Wrightsboro Rd
Augusta, GA 30904-6244
Phone (706) 738-1102

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
GA1296-TGAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tippett Eyecare, PC Optometrist CurrentSince May 7, 1998 Accepting new patients
Tippett Eyecare, PC Optometrist CurrentSince Jun 23, 2010 Accepting new patients

Locations

2465 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 364-2110

701 Devika Dr
Ste 3
Grovetown, GA 30813
Phone (706) 738-1102

701 Devika Dr
Grovetown, GA 30813

Interoperability endpoints

  • Direct secure messaging: timothy.tippett@direct.revolutionehr.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1770575649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046244",
            "telephone_number": "706-738-1102",
            "fax_number": "706-738-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 WRIGHTSBORO RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309046244",
            "telephone_number": "706-738-1102",
            "fax_number": "706-738-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPETT",
        "first_name": "TIMOTHY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-17",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1296-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00618549A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.