Individual provider Active NPI

Timothy W Hutchison, M.D.

  • Family Medicine Physician
  • Saint Louis, MO
National Provider Identifier
1881636702
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
104721 Issued in GA
Practice address
3721 S Grand Blvd
Saint Louis, MO 63118-3405
Phone
(314) 328-0144
NPI assigned
Jun 12, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101241398 VA
Family Medicine Physician 207Q00000X 0101241398 VA
Family Medicine Physician 207Q00000X 2024000917 MO
Family Medicine Physician 207Q00000X 104721 GA Primary

Addresses

Primary practice location

3721 S Grand Blvd
Saint Louis, MO 63118-3405

Mailing address

3721 S Grand Blvd
Saint Louis, MO 63118-3405
Phone (314) 328-0144

Other practice location 1

800 W Meeting St
Lancaster, SC 29720-2202
Phone (803) 286-1479

Other practice location 2

12720 McManus Blvd Ste 204
Newport News, VA 23602-4486
Phone (757) 886-6381

Other identifiers 1

IdentifierTypeStateIssuer
1881636702MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MO, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070810000395 VA Practitioner - Family PracticePractitioner - Emergency Medicine 9133123433 Reassigns benefits to 5 organizations
I20220608000589 DC Practitioner - Family Practice 9133123433 Reassigns benefits to 1 organization
I20240213000179 MO Practitioner - Family Practice 9133123433 Reassigns benefits to 1 organization
I20250626002322 GA Practitioner - Family Practice 9133123433 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Complexcare Medical Group Southeast H PLLCGroup PAC ID 9830693993, 12 clinicians

Practice addresses (Care Compare)

101 Hartford Rd
Fort Gaines, GA 39851-3639
Phone (248) 660-1220

101 Hartford Rd W
Suite 101
Fort Gaines, GA 39851-4331
Phone (229) 210-2100

4000 Village View Dr
Gainesville, GA 30506-4331
Phone (678) 450-3005

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101241398VAMDEmergency Medicine Physician
2024000917MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jun 17, 2025 Accepting new patients
Complexcare Medical Group Southeast H PLLC CurrentSince Aug 1, 2025 Accepting new patients
Southeastern Physician Services PC CurrentSince Oct 28, 2023 Accepting new patients
Dedicated Missouri Holding, LLC CurrentSince Feb 4, 2024 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Sep 15, 2021 Accepting new patients
Wound Care Partners, LLC Current Accepting new patients
Privia Medical Group of Georgia LLC Family Medicine CurrentSince Jun 17, 2025 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Feb 1, 2016 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Apr 29, 2022 Accepting new patients
Theoria Medical CurrentSince May 16, 2025 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Apr 29, 2022 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 18, 2019 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 18, 2019 Accepting new patients
Dedicated Missouri Holding, LLC CurrentSince Mar 1, 2024 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Feb 1, 2016 Accepting new patients
Wren Emergency Physicians Emergency Medicine Past Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Rosebud Indian Health Service Past Accepting new patients
South Carolina Em-I Medical Services, PC Emergency Medicine Past Accepting new patients

Locations (25 of 29)

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

3715 Northside Pkwy NW
Bldg 100
Atlanta, GA 30327
Phone (404) 793-0924

101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285

101 Hartford Rd W
Fort Gaines, GA 39851
Phone (229) 768-2521

101 Hartford Rd W
Ste 1
Fort Gaines, GA 39851
Phone (229) 210-2100

101 Hartford Rd W
Ste 101
Fort Gaines, GA 39851
Phone (229) 210-2100

4000 Village View Dr
Gainesville, GA 30506
Phone (678) 450-3000

7300 Lester Rd
Union City, GA 30291
Phone (770) 703-2604

41800 W 11 Mile Rd
Novi, MI 48375
Phone (248) 282-5044

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

175 N Oaks Plz
Saint Louis, MO 63121
Phone (314) 391-9777

3721 S Grand Blvd
Saint Louis, MO 63118
Phone (314) 328-0144

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

12 N Thompson St
Richmond, VA 23221
Phone (804) 359-1337

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: timothy.hutchison.1@8042.direct.athenahealth.com
  • Direct secure messaging: vaexchange@patientfirstclinics.com

Organizations & group practices 21

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.

View all 21

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1881636702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183405",
            "telephone_number": "314-328-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183405",
            "telephone_number": "314-328-0144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 W Meeting St",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "SC",
            "postal_code": "297202202",
            "country_code": "US",
            "telephone_number": "803-286-1479",
            "fax_number": "803-286-1369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12720 McManus Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236024486",
            "country_code": "US",
            "telephone_number": "757-886-6381",
            "fax_number": "757-886-9629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTCHISON",
        "first_name": "TIMOTHY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101241398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101241398",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2024000917",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "104721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881636702",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12 N Thompson St",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232212718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.