Timothy Edwards Mecredy, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

030652 Issued in GA

Practice address

393 N Belair Rd
Evans, GA 30809-3096

Phone

(706) 868-0104

Fax

(706) 650-7825

NPI assigned

Feb 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

University of Tennessee, HSC, College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastroenterology Consultants of Augusta, PCGroup PAC ID 4486643434, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Hospital Hospital, Augusta, GA, CCN 110177
• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15547/brand/1/csg/1/fhir/r4
• Direct secure messaging: timothy.mecredy.1@15547.direct.athenahealth.com

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.

• Gastroenterology Consultants of Augusta, PC

  • Gastroenterology Physician
  • Evans, GA
  • NPI 1508089137
  Medicare reassignment Care Compare group NPD
• Gastroenterology Consultants of Augusta, PC

  • Anesthesiology Physician
  • Evans, GA
  • NPI 1255974226
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Doctors Hospital of Augusta LLC

  dba Doctors Hospital (Augusta)

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963
  Care Compare affiliation
• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831233063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093096",
            "telephone_number": "706-868-0104",
            "fax_number": "706-650-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 N BELAIR RD",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093096",
            "telephone_number": "706-868-0104",
            "fax_number": "706-650-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECREDY",
        "first_name": "TIMOTHY",
        "middle_name": "EDWARDS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "030652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline R McKinnon, PHD, PMHCNS-BC
• Latoya McKinnon
• Wanda Yvette McLean
• Amisha Mornee McMillan
• Sandra Diane McSpadden, OTRL
• Med Now Urgent Care, LLC
• Medequip Health Corp (Medical Center West Compding Lab)
• Crystal Nicole Meeks
• Linda K Meister, D.M.D.
• Tyler Melvin, LPC

• Gastroenterology Physician in Evans, GA
• Providers in Evans, GA by specialty
• Gastroenterology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.