Organization Active NPI

Tim Cummings, MD LLC

  • Specialist
  • Roswell, GA
National Provider Identifier
1851572176
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
041100 Issued in GA
Legal business name
TIM CUMMINGS, MD LLC
Practice address
1260 Upper Hembree Rd
Suite C
Roswell, GA 30076-4611
Phone
(678) 356-0484
Fax
(678) 356-0480
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Authorized official

Name
Tim B Cummings, MD
Title
Owner
Phone
(678) 356-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 041100 GA Primary

Addresses

Primary practice location

1260 Upper Hembree Rd
Suite C
Roswell, GA 30076-4611

Mailing address

1260 Upper Hembree Road
Suite C
Roswell, GA 30076
Phone (678) 356-0484

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060328000695 GA Part B Supplier - Clinic/Group Practice 8426066713 Receives reassigned benefits from 1 practitioner
Practice locations: Roswell, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1004401Tim Cummings MD LLC1260 Upper Hembree Road Suite C, Roswell, GA 30076Certificate of waiverSep 25, 2026

National Provider Directory

National Provider Directory

Locations

1260 Upper Hembree Rd
Ste C
Roswell, GA 30076
Phone (678) 356-0484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1851572176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 UPPER HEMBREE ROAD",
            "address_2": "SUITE C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30076",
            "telephone_number": "678-356-0484",
            "fax_number": "678-356-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 UPPER HEMBREE RD",
            "address_2": "SUITE C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764611",
            "telephone_number": "678-356-0484",
            "fax_number": "678-356-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM CUMMINGS, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-356-0484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "041100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.