Timothy J Pardoe, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003610 Issued in GA

Practice address

30 Buchanan Byp
Buchanan, GA 30113-4924

Phone

(770) 646-8281

Fax

(770) 646-3579

NPI assigned

Oct 31, 2005

Last updated

Jul 28, 2010By 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

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Buchanan Family Healthcare CenterGroup PAC ID 9032106604, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Higgins General Hospital Hospital, Bremen, GA, CCN 111320
• Tanner Medical Center Villa Rica Hospital, Villa Rica, GA, CCN 110015
• Tanner Medical Center - Carrollton Hospital, Carrollton, GA, CCN 110011

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: timothypardoe@tnmhpf.allscriptsdirect.net

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.

• TMC Buchanan Family Healthcare Center

  dba Buchanan Medical Clinic

  • Rural Health Clinic/Center
  • Buchanan, GA
  • NPI 1508801416
  Medicare reassignment Care Compare group
• Tanner Medical Group Inc

  • Cardiovascular Disease Physician
  • Carrollton, GA
  • NPI 1396979787
  Medicare reassignment
• Denis Morin

  dba Buchanan Medical Clinic

  • Primary Care Clinic/Center
  • Buchanan, GA
  • NPI 1003020967
  NPD
• Memorial Health Partners Foundation Inc

  dba CHI Memorial Family Practice Associates - Trenton

  • Rural Health Clinic/Center
  • Trenton, GA
  • NPI 1467602482
  NPD

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

• Tanner Medical Center, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Carrollton, GA
  • NPI 1801883780
  Care Compare affiliation
• TMC/Higgins General Hospital

  dba Tanner Health System

  • Critical Access Hospital
  • Bremen, GA
  • NPI 1194712083
  Care Compare affiliation
• TMC/Villa Rica Hospital, Inc

  dba Tanner Health System

  • General Acute Care Hospital
  • Villa Rica, GA
  • NPI 1851388748
  Care Compare affiliation

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1861483877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BUCHANAN BYP",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134924",
            "telephone_number": "770-646-8281",
            "fax_number": "770-646-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 BUCHANAN BYP",
            "city": "BUCHANAN",
            "state": "GA",
            "postal_code": "301134924",
            "telephone_number": "770-646-8281",
            "fax_number": "770-646-3579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDOE",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "003610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002181A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary Nicole Landers, PHARM.D
• Landmark Counseling LLC
• Thomas Jeff Large, RPH
• Denis Marcel Morin, M.D.
• Ashlie Linn Muir, LMT
• Janet L Ross, RN, FNP-C
• Kelly Mackenzie Sams, PTA
• Joseph Sebastian, MD
• Solutions Community Services, Inc.
• Southern Optometrics, Inc (Buchanan Eye Care)

• Physician Assistant in Buchanan, GA
• Providers in Buchanan, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; 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.