Timothy Allen Naumann, FNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Piedmont, SC
NPI 1992188379 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1992188379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 19570 (SC)
- Practice address
- 251 Wall St
Piedmont, SC 29673-6754 - Phone
- (864) 597-0159
- Fax
- (863) 685-7676
- NPI assigned
- Jul 3, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Daylight Wellness Group LLC
Practice addresses (Care Compare)
251 Wall St
Piedmont, SC 29673-6754
Phone (864) 597-0159
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150921001371 | SC | Practitioner - Nurse Practitioner | 8527375781 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19570 | SC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr William M Scott, Mdvip PA | Current |
Accepting new patients | |
| Addictionology Associates LLC | Current |
Accepting new patients | |
| Daylight Wellness Group, LLC | Family | Current |
Accepting new patients |
| Itrust Cares LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
251 Wall St
Piedmont, SC 29673
Phone (864) 597-0159
206 Wall St
Powdersville, SC 29673
Phone (864) 269-7950
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19570 | SC | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 19570 | SC | Yes |
Addresses
Primary practice location
251 Wall St
Piedmont, SC 29673-6754
Mailing address
251 Wall St
Piedmont, SC 29673-6754
Phone (864) 597-0159
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3368 | Medicaid | SC |
Other providers in Piedmont, SC
- Kelly Monteruil
- Jordyn Moorhead
- Megan Angel Morris
- Kelley Anne Murray
- Geeta Nangia
- Dennis Marion Nelson
- Shane Michael Nelson
- Neuro Health SC LLC
- Next Level Pediatric Therapy
- Northern Anderson County EMS
All providers in Piedmont, SC · Psychiatric/Mental Health Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.