Individual provider Active NPI

Timothy Allen Naumann, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Piedmont, SC
National Provider Identifier
1992188379
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
19570 Issued in SC
Practice address
251 Wall St
Piedmont, SC 29673-6754
Phone
(864) 597-0159
Fax
(863) 685-7676
NPI assigned
Jul 3, 2015
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19570 SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 19570 SC Primary

Addresses

Primary practice location

251 Wall St
Piedmont, SC 29673-6754

Mailing address

251 Wall St
Piedmont, SC 29673-6754
Phone (864) 597-0159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150921001371 SC Practitioner - Nurse Practitioner 8527375781 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Daylight Wellness Group LLCGroup PAC ID 2062861131, 2 clinicians

Practice addresses (Care Compare)

251 Wall St
Piedmont, SC 29673-6754
Phone (864) 597-0159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
19570SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Daylight Wellness Group, LLC Family CurrentSince Sep 17, 2023 Accepting new patients
Dr William M Scott, Mdvip PA CurrentSince Feb 12, 2021 Accepting new patients
Addictionology Associates LLC CurrentSince Feb 12, 2021 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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1992188379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-597-0159",
            "fax_number": "864-685-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 WALL ST",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296736754",
            "telephone_number": "864-597-0159",
            "fax_number": "863-685-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUMANN",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-03",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "19570",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "19570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

Verify at the official NPI Registry.