Active NPI
Timothy J Shannon, MD
- Orthopaedic Surgery Physician
- Aiken, SC
National Provider Identifier
1811968589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 17950
- Practice address
- 410 University Pkwy
Suite 1000
Aiken, SC 29801 - Phone
- (803) 644-4264
- Fax
- (803) 649-0543
- NPI assigned
- Jan 30, 2006
- Last updated
- Oct 9, 2007
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 17950 | SC | Primary |
Addresses
Primary practice location
410 University Pkwy
Suite 1000
Aiken, SC 29801
Mailing address
410 University Pkwy
Suite 1000
Aiken, SC 29801
Phone (803) 644-4264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T18656 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Saint Louis University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Augusta Orthopedic and Sports Medicine Specialists, PC
Practice addresses (Care Compare)
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797
410 University Pkwy
Suite 1000
Aiken, SC 29801-6800
Phone (803) 644-4264
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.48 of 100
- Quality
- 56.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Spinal fusion | 21 |
| Laminectomy or laminotomy (partial removal of spine bones) | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Orthopedic & Sports Medicine Specialists PC | Orthopaedic Surgery | Current | Accepting new patients |
| Augusta Orthopedic & Sports Medicine Specialists PC | Orthopaedic Surgery | Current | Accepting new patients |
| Nathan H. Brandon, MD, LLC | Past | Accepting new patients |
Locations
3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797
410 University Pkwy
Ste 1000
Aiken, SC 29801
Phone (803) 644-4264
Interoperability endpoints
- https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
- timothy.shannon.1@23890.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1952076382
-
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1457389504
-
- Interventional Pain Medicine Physician
- Evans, GA
- NPI 1023035003
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wound Care Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
dba Aiken Regional Medical Center
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
dba Aiken Regional Medical Centers Neuro Physician Services
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
-
dba Medical Services of America Home Health
- Home Health Agency
- Irmo, SC
- NPI 1689626608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1811968589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 UNIVERSITY PKWY",
"address_2": "SUITE 1000",
"city": "AIKEN",
"state": "SC",
"postal_code": "29801",
"telephone_number": "803-644-4264",
"fax_number": "803-649-0543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 UNIVERSITY PKWY",
"address_2": "SUITE 1000",
"city": "AIKEN",
"state": "SC",
"postal_code": "29801",
"telephone_number": "803-644-4264",
"fax_number": "803-649-0543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANNON",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": "17950",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T18656",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.