Active NPI
Timothy K Tippett, OD
- Optometrist
- Augusta, GA
National Provider Identifier
1770575649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- GA1296-T
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00618549A | Medicaid | GA |
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
Enrollment records 1
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GA1296-T | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tippett Eyecare, PC | Optometrist | Current | Accepting new patients |
| Tippett Eyecare, PC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Augusta, GA
- NPI 1659684975
-
- Optometrist
- Grovetown, GA
- NPI 1902201254
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.