Individual provider Active NPI

Timber Wages Munoz, PA-C

  • Medical Physician Assistant
  • Aiken, SC
National Provider Identifier
1902231095
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
006964 Issued in GA
Practice address
3515 Richland Ave
Aiken, SC 29801-6311
Phone
(803) 642-2626
Fax
(803) 642-2960
NPI assigned
Sep 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2149 SC
Medical Physician Assistant 363AM0700X 006964 GA Primary

Addresses

Primary practice location

3515 Richland Ave
Aiken, SC 29801-6311

Mailing address

2727 Paces Ferry Rd SE Ste 1-1100
Atlanta, GA 30339-6151
Phone (706) 854-6008

Other practice location 1

447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone (706) 854-2222

Other practice location 2

107 Walnut Ln Ste 102
North Augusta, SC 29860-8629
Phone (803) 202-7110

Other practice location 3

325 Georgia Ave Ste 100
North Augusta, SC 29841-3848
Phone (803) 202-3351

Other practice location 4

UMG Prompt Care South Carolina
1021 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 648-0587

Other practice location 5

3686 Wheeler Rd
Augusta, GA 30909-6520
Phone (706) 922-6300

Other practice location 6

4720 Washington Rd
Evans, GA 30809-5875
Phone (706) 650-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131105000265 GA Practitioner - Physician Assistant 5890920532 Reassigns benefits to 1 organization
I20141118001154 SC Practitioner - Physician Assistant 5890920532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Professional Services LLCGroup PAC ID 8921176231, 171 clinicians

Practice addresses (Care Compare)

1021 Silver Bluff Rd
Aiken, SC 29803-5879
Phone (803) 648-0587

107 Walnut LN
Suite 102
North Augusta, SC 29860-8629
Phone (803) 202-7110

1267 Hwy 54 W 2200
Fayetteville, GA 30214-2110
Phone (470) 271-3415

325 Georgia Ave
Suite 100
North Augusta, SC 29841-3848
Phone (803) 202-3351

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006964GAMDMedical Physician Assistant
PA2149SCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Current Accepting new patients
University Medical Group LLC CurrentSince Jul 1, 2018 Accepting new patients
University Prompt Care Current Accepting new patients
University Health Care Physicians LLC Current Accepting new patients
University Medical Group LLC CurrentSince Jul 1, 2018 Accepting new patients
Piedmont Medical Care Corporation Past Accepting new patients

Locations

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

820 Saint Sebastian Way
Ste 4C
Augusta, GA 30901
Phone (706) 774-5997

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

4720 Washington Rd
Evans, GA 30809
Phone (706) 650-0111

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1378512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1902231095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 PACES FERRY RD SE STE 1-1100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396151",
            "telephone_number": "706-854-6008",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 RICHLAND AVE",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016311",
            "telephone_number": "803-642-2626",
            "fax_number": "803-642-2960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "447 N Belair Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308093091",
            "country_code": "US",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Walnut Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7110",
            "fax_number": "803-202-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Georgia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413848",
            "country_code": "US",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "UMG Prompt Care South Carolina",
            "address_2": "1021 Silver Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "29803",
            "country_code": "US",
            "telephone_number": "803-648-0587",
            "fax_number": "803-648-9846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3686 Wheeler Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309096520",
            "country_code": "US",
            "telephone_number": "706-922-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4720 Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Evans",
            "state": "GA",
            "postal_code": "308095875",
            "country_code": "US",
            "telephone_number": "706-650-0111",
            "fax_number": "706-651-1882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "TIMBER",
        "middle_name": "WAGES",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-07",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "SC",
            "license": "PA2149",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "006964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.