Active NPI
Timothy Marshall, PA-C
- Surgical Physician Assistant
- Hilton Head Island, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1131902
- Practice address
- 25 Hospital Center Blvd Ste 306
Hilton Head Island, SC 29926-2739 - Phone
- (843) 689-8224
- NPI assigned
- Aug 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 1131902 | PA | Primary |
Addresses
Primary practice location
25 Hospital Center Blvd Ste 306
Hilton Head Island, SC 29926-2739
Mailing address
203 Midfield Circle Dr
MC Donald, PA 15057-2379
Other practice location 1
6150 E Broad St
Columbus, OH 43213-1574
Phone (614) 546-4008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Pittsburgh School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
25 Hospital Ctr Blvd
Hilton Head, SC 29926-2738
Phone (843) 689-8149
8 Hospital Ctr Blvd
Hilton Head, SC 29926-8701
Hospital & facility affiliations
- Pruitthealth Home Health-Low Country
- Novant Health Hilton Head Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.72 of 100
- Quality
- 63.11
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1131902 | PA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilton Head Regional Physician Group LLC | Current | Accepting new patients | |
| Hilton Head Regional Physician Group LLC | Current | Accepting new patients | |
| Hilton Head Heart PA | Past | Accepting new patients |
Locations
25 Hospital Ctr
Ste 300
Hilton Head Island, SC 29926
Phone (843) 681-8203
25 Hospital Ctr
Ste 306
Hilton Head Island, SC 29926
Phone (843) 681-2074
8 Hospital Center Blvd
Ste 130
Hilton Head Island, SC 29926
Phone (843) 682-2740
Interoperability endpoints
- timothy.marshall.1@30548.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Bluffton, SC
- NPI 1548021694
-
- Surgery Physician
- Bluffton, SC
- NPI 1295596708
-
- Cardiovascular Disease Physician
- Beaufort, SC
- NPI 1952162091
-
- Cardiovascular Disease Physician
- Hilton Head, SC
- NPI 1982655379
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilton Head Island, SC
- NPI 1902675101
-
- Home Health Agency
- Bluffton, SC
- NPI 1114267325
-
- Home Health Agency
- Aiken, SC
- NPI 1184167264
-
- Home Health Agency
- Ladson, SC
- NPI 1770008377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555891200000",
"number": "1861948804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 MIDFIELD CIRCLE DR",
"city": "MC DONALD",
"state": "PA",
"postal_code": "150572379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 HOSPITAL CENTER BLVD STE 306",
"city": "HILTON HEAD ISLAND",
"state": "SC",
"postal_code": "299262739",
"telephone_number": "843-689-8224"
}
],
"practiceLocations": [
{
"address_1": "6150 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432131574",
"country_code": "US",
"telephone_number": "614-546-4008",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARSHALL",
"first_name": "TIMOTHY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2019-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "1131902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilton Head Island, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.