Timothy Allen Podesta, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

86347 Issued in GA

Practice address

200 Industrial Blvd
Dublin, GA 31021-2981

Phone

(478) 274-2000

NPI assigned

Mar 22, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Internal Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services Ga LLC 27 clinicians

Cogent Healthcare of Georgia PC 252 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassus Hospice and Palliative Care-Macon Hospice, Macon, GA, CCN 111671
• Fairview Park Hospital Hospital, Dublin, GA, CCN 110125
• Coliseum Medical Centers, LLC, Dba Hospital, Macon, GA, CCN 110164

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir4.healow.com/fhir/r4/JAGGAA
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Cogent Healthcare of Georgia PC

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1609827823

  Single Specialty

  Care Compare group NPD
• CH Specialty Services Ga LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1306545181
  Care Compare group
• Houston Hospitalist Group LLC

  • Hospitalist Physician
  • Perry, GA
  • NPI 1831717511

  Single Specialty

  NPD
• Curana Health Medical Group LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1255640678

  Single Specialty

  NPD
• Central Georgia Pulmonary Associates, LLC

  • Pulmonary Disease Physician
  • Macon, GA
  • NPI 1669521902

  Single Specialty

  NPD (past)
• Fairview Park, Limited Partnership

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234

  Single Specialty

  NPD (past)
• Hospitalist Medicine Physicians of Connecticut - TCS

  • Internal Medicine Physician
  • Manchester, CT
  • NPI 1831712256

  Single Specialty

  NPD (past)
• Medicos, P.a.

  • Internal Medicine Physician
  • North Myrtle Beach, SC
  • NPI 1548024540

  Single Specialty

  NPD (past)

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

• Coliseum Medical Center, LLC

  • General Acute Care Hospital
  • Macon, GA
  • NPI 1598719643

  Hospital

  Care Compare affiliation
• Compassus Op of Georgia II LLC

  • Community Based Hospice Care Agency
  • Macon, GA
  • NPI 1376093534

  Hospice

  Care Compare affiliation
• Fairview Park, Limited Partnership

  • General Acute Care Hospital
  • Dublin, GA
  • NPI 1285688234

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1871024802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212997",
            "telephone_number": "478-751-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INDUSTRIAL BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310212981",
            "telephone_number": "478-274-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODESTA",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-22",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "86347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003242899A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003242899B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003242899C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge B Pisarello, MD
• Ethel Lee Pittman, LPN
• Plantation Developmental Partners LLC
• Platinum Medical Staffing Services,LLC
• Michelle Plummer
• John L Polhill, MD
• Tracy Beck Pollock
• James Woodard Poole Jr., RPH
• Elizabeth Pooler, PHD
• Alan David Porter, LMSW

• All providers in Dublin, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.