Individual provider Active NPI

Timothy Alexander Tolson, MD

  • Allergy & Immunology Physician
  • Elizabeth City, NC
National Provider Identifier
1811973522
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
94-00660 Issued in NC
Practice address
410 E Main St
Suite 202
Elizabeth City, NC 27909-4495
Phone
(252) 338-0373
Fax
(252) 338-0073
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 94-00660 NC Primary
Allergy Physician 207KA0200X 94-00660 NC
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 94-00660 NC
Pediatric Allergy/Immunology Physician 2080P0201X 94-00660 NC

Addresses

Primary practice location

410 E Main St
Suite 202
Elizabeth City, NC 27909-4495

Mailing address

410 E Main St
Suite 202
Elizabeth City, NC 27909-4495
Phone (252) 338-0373

Other identifiers 1

IdentifierTypeStateIssuer
6983580MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000598 NC Practitioner - Allergy/Immunology 2264625086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Brody School of Medicine at East Carolina University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

410 E Main St
Suite 202
Elizabeth City, NC 27909-4466
Phone (252) 338-0373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-00660NCMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albemarle Allergy & Asthma, PC Allergy & Immunology CurrentSince Jul 1, 1996 Accepting new patients

Locations

410 E Main St
Ste 202
Elizabeth Cty, NC 27909
Phone (252) 338-0121

615 S Hughes Blvd
Ste C
Elizabeth Cty, NC 27909
Phone (252) 338-0373

5200 N Croatan Hwy
Kitty Hawk, NC 27949
Phone (252) 261-4187

Organizations & group practices 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1811973522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094495",
            "telephone_number": "252-338-0373",
            "fax_number": "252-338-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "address_2": "SUITE 202",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094495",
            "telephone_number": "252-338-0373",
            "fax_number": "252-338-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLSON",
        "first_name": "TIMOTHY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NC",
            "license": "94-00660",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NC",
            "license": "94-00660",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NC",
            "license": "94-00660",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "NC",
            "license": "94-00660",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6983580",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.