NPIMap

Individual provider Active NPI

Timothy Lee Turnbull, MD

  • Emergency Medicine Physician
  • Snellville, GA
National Provider Identifier
1801853908
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
039496 Issued in GA
Practice address
1700 Medical Way
Eastside Medical Center
Snellville, GA 30278
Phone
(770) 736-2376
Fax
(770) 736-2379
NPI assigned
May 1, 2006
Last updated
Mar 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 039496 GA Primary

Addresses

Primary practice location

1700 Medical Way
Eastside Medical Center
Snellville, GA 30278

Mailing address

PO Box 116301
Paragon Emergency Physicians PC
Atlanta, GA 30368-6301
Phone (800) 666-2455

Other identifiers 1

IdentifierTypeStateIssuer
00630803BMedicaidGA

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

LicenseStateTypeSpecialty
039496GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care of Atlanta Inc Emergency Medicine Past Accepting new patients
Emerginet, LLC PastSince Jul 1, 2001 Accepting new patients
Athens-Clarke Emergency Specialists Emergency Medicine Past Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Paragon Emergency Physicians PC Emergency Medicine Past Accepting new patients
Kayenta Alternative Rural Hospital Past Accepting new patients
Bannock Inpatient Services PLLC Emergency Medicine Past Accepting new patients
Emerginet Henry, LLC Past Accepting new patients
Cherokee Emergency Services, LLC Past Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1801853908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116301",
            "address_2": "PARAGON EMERGENCY PHYSICIANS PC",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686301",
            "telephone_number": "800-666-2455",
            "fax_number": "610-617-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MEDICAL WAY",
            "address_2": "EASTSIDE MEDICAL CENTER",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30278",
            "telephone_number": "770-736-2376",
            "fax_number": "770-736-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURNBULL",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "039496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00630803B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.