Individual provider Active NPI

Timothy Lyon Arnold, D.O.

  • Psychiatry Physician
  • Meridian, MS
National Provider Identifier
1861462178
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19843 Issued in MS
Practice address
5000 Highway 39 N
Alliance Health Center Inc
Meridian, MS 39301
Phone
(601) 483-6211
Fax
(601) 482-3623
NPI assigned
Jan 26, 2006
Last updated
Jun 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MB07027800 NJ
Psychiatry Physician 2084P0800X 19843 MS Primary

Addresses

Primary practice location

5000 Highway 39 N
Alliance Health Center Inc
Meridian, MS 39301

Mailing address

5000 Highway 39 N
Alliance Health Center Inc
Meridian, MS 39301
Phone (601) 483-6211

Other identifiers 2

IdentifierTypeStateIssuer
8861102MedicaidNJ
06481203MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20070829000929 MS Practitioner - PsychiatryPractitioner - Addiction Medicine 0244323707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Rowan University School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Health Center IncGroup PAC ID 1355366113, 9 clinicians

Practice addresses (Care Compare)

5000 Hwy 39 N
Meridian, MS 39301-1021
Phone (601) 581-9906

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19843MSMDPsychiatry Physician
MB07027800NJMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Health Center Inc. Psychiatry CurrentSince Feb 1, 2012 Accepting new patients
South Central Regional Medical Center Past Accepting new patients
Alliance Health Center Inc Past Accepting new patients
South Central Clinics, Inc Psychiatry Past Accepting new patients

Locations

5000 Highway 39 N
Meridian, MS 39301
Phone (601) 483-6211

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1861462178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HIGHWAY 39 N",
            "address_2": "ALLIANCE HEALTH CENTER INC",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-483-6211",
            "fax_number": "601-482-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HIGHWAY 39 N",
            "address_2": "ALLIANCE HEALTH CENTER INC",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39301",
            "telephone_number": "601-483-6211",
            "fax_number": "601-482-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "TIMOTHY",
        "middle_name": "LYON",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "MB07027800",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "19843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8861102",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06481203",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.