Active NPI
Montgomery Ricks Timms, MD
- Surgery Physician
- Savannah, GA
National Provider Identifier
1922072180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 22899
- Practice address
- 310 Eisenhower Dr
#3
Savannah, GA 31406 - Phone
- (912) 354-2104
- Fax
- (912) 351-0598
- NPI assigned
- Feb 15, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 22899 | GA | Primary |
| Surgery Physician | 208600000X | 27726 | SC |
Addresses
Primary practice location
310 Eisenhower Dr
#3
Savannah, GA 31406
Mailing address
310 Eisenhower Dr
#3
Savannah, GA 31406
Phone (912) 354-2104
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00279452B | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111025000822 | GA | Practitioner - General Surgery | 7911912902 | Practice locations: Savannah, GA |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Georgia School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
310 Eisenhower Dr
Savannah, GA 31406-2632
Phone (912) 354-2104
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22899 | GA | MD | Surgery Physician |
| 27726 | SC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281312000000",
"number": "1922072180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 EISENHOWER DR",
"address_2": "#3",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31406",
"telephone_number": "912-354-2104",
"fax_number": "912-351-0598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 EISENHOWER DR",
"address_2": "#3",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31406",
"telephone_number": "912-354-2104",
"fax_number": "912-351-0598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIMMS",
"first_name": "MONTGOMERY",
"middle_name": "RICKS",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2010-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "22899",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "27726",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00279452B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.