Timothy Hanley

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

88101 Issued in GA

Practice address

5126 Hospital Dr NE
Covington, GA 30014-2566

Phone

(508) 463-5964

NPI assigned

Feb 15, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

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

Emergency Medicine

Education

Nova Southeastern College of Osteo Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Shore Health Express IncGroup PAC ID 6406108836, 30 clinicians

Coastal Medical AssociatesGroup PAC ID 7113029257, 443 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center Hospital, Brockton, MA, CCN 220111
• South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: thanley259937@direct.bmc.masshiway.net

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.

• Coastal Medical Associates

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1932175684
  Medicare reassignment Care Compare group NPD
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Weymouth, MA
  • NPI 1477044212
  Medicare reassignment Care Compare group
• South Shore Medical Center, Inc.

  • Internal Medicine Physician
  • Norwell, MA
  • NPI 1669411856
  Medicare reassignment NPD
• Steward Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Ayer, MA
  • NPI 1780971275
  Medicare reassignment NPD
• BMC Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1245320910

  Emergency Medicine

  NPD
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Braintree, MA
  • NPI 1487203246
  NPD
• South Shore Health Express, Inc

  • Urgent Care Clinic/Center
  • Plymouth, MA
  • NPI 1922591981
  NPD

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

• Boston Medical Center - South Corporation

  dba Boston Medical Center - South

  • General Acute Care Hospital
  • Brockton, MA
  • NPI 1871329110
  Care Compare affiliation
• South Shore Hospital Inc.

  • General Acute Care Hospital
  • South Weymouth, MA
  • NPI 1134227606
  Care Compare affiliation

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1851750111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 ROSEWOOD AVE",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027035913",
            "telephone_number": "508-463-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142566",
            "telephone_number": "508-463-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "TIMOTHY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "88101",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "282909",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101022444",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Benjamin Hampton, DMD
• Travis E. Hampton, DMD
• Mark Handley
• Larry J Handman, D.MIN.
• Hankins Healthcare
• Hanowell Pain Management LLC
• Hanowell Spine Clinic LLC
• Michael Dalton Hanowell, M.D.
• Bethanie Hansen, D.C.
• Susan C. Hansen, CRNA

• Emergency Medicine Physician in Covington, GA
• Providers in Covington, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.