Mr. Timothy A Powell

MD | Pediatrics | Male

Mr. Timothy A Powell, MD is a Greenville, North Carolina based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Mr. Timothy A Powell is 517 Moye Blvd, Greenville, North Carolina - 27834-2849. He can be contacted on phone at 252-744-0766 and fax number 252-744-0392. Mr. Timothy A Powell is a sole proprietor of his business.
NPI number (Unique professional ID) for Mr. Timothy A Powell is 1699879924 which was assigned by NPPES on 08 Sep, 2006 and it was last updated on 14 Dec, 2020. Mr. Timothy A Powell license number is 2017-00518 for Pediatrics (208000000X) in North Carolina.
Mr. Timothy A Powell is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mr. Timothy A Powell basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Mr. Timothy A Powell
Credential :MD
Gender :Male
Business Address:
Mr. Timothy A Powell address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :517 Moye Blvd
Greenville, NC, 27834-2849
United States
Phone Number :252-744-0766
Fax Number :252-744-0392
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1699879924
NPI Entity Type : Individual
First Enrolment Date : 08 Sep, 2006
Last Updated On : 14 Dec, 2020
Medicare Participation:
Mr. Timothy A Powell participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID :4880786953
Medicare Enrollment ID :I20170808000770
Primary Specialty :Pediatric Medicine
Medical School :Virginia Commonwealth University, School Of Medicine
Graduation Year :1989
Accepts Medicare?Yes. Mr. Timothy A Powell accepts medicare insurance.
Group Practice Association:
Mr. Timothy A Powell is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Timothy A Powell is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name :Group Practice IDNo. of MembersPractice AddressGroup Accepts Medicare
East Carolina University0244143246378517 Moye Blvd
Greenville, NC - 278342849
Ph: 2527443109
Yes
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Timothy A Powell are as mentioned. Primary taxonomy code for Mr. Timothy A Powell, MD is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
207R00000XInternal MedicineNo0101049447VA
207R00000XInternal MedicineNo2017-00518NC
208000000XPediatricsYes2017-00518NC
Legacy Identifiers:
Other legacy medical identifiers of Mr. Timothy A Powell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
19RGPOtherNCBCBS OF NC
461276OtherVAANTHEM
010254558MEDICAIDVA
NCX793022OtherNCMEDICARE
1699879924MEDICAIDNC
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
Endpoint TypeEndpointAffiliationUseContentAddress
DIRECT
(Direct Messaging Address)
tpowell260195@direct.vidanthealth.com

ECU Physicians
No affiliationDIRECT
Direct


517 MOYE BLVD,
GREENVILLE, NC, 27834-2849
United States
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 751069
Charlotte, NC, 28275-1069
United States
Business Location:
Patients can refer following map for directions to Mr. Timothy A Powell practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.