DAVID ALAN TIMM (NPI# 1174608020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174608020 |
| Entity Type | Organization |
| Organization Name | DAVID ALAN TIMM |
| Other Organization Name | PEDIATRIC & ADOLESCENT CLINIC |
| Practice Address |
308 Highland Blvd Natchez MS 39120-4611 |
| Practice Telephone | 6014427676 |
| Practice Fax Number | 6014429590 |
| Mailing Telephone | 6014427676 |
| Mailing Fax Number | 6014429590 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | DR. DAVID ALAN TIMM (OWNER) |
| Authorized Official Telephone | 6014427676 |
| Authorized Official Credential | M. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C5115 | MS | Behavioral Health & Social Service Providers |
| N | 208000000X | Pediatrics | 10207 | MS | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 016299 | LA | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R691941 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN066376 APO4870 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R863841 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN109495 APO0493 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1446009 | 05 | |
| MS | 09015251 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric & Adolescent Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407025711 | David Alan Timm | Clinic/Center | 1806 Carter Street, Vidalia, LA 71373-3115 | 2008-02-21 |
| 1710015318 | David Alan Timm | Pediatrics | 1806 Carter St, Vidalia, LA 71373-3115 | 2007-03-02 |
| Street Address |
308 HIGHLAND BLVD |
| City | NATCHEZ |
| State | MS |
| Zip Code | 39120-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003468786 | Dawn Moss | Nurse Practitioner | 308 Highland Blvd, Natchez, MS 39120-4611 | 2019-07-12 |
| 1437718426 | Summer Powell | Nurse Practitioner | 308 Highland Blvd, Natchez, MS 39120-4611 | 2019-06-12 |
| 1134659881 | Erica F Smith | Nurse Practitioner | 308 Highland Blvd, Natchez, MS 39120-4611 | 2017-06-15 |
| 1780038786 | Kizzy Robinson | Nurse Practitioner | 308 Highland Blvd, Natchez, MS 39120-4611 | 2016-04-16 |
| 1215013073 | Deanna Danell Ballard | Nurse Practitioner | 308 Highland Blvd, Natchez, MS 39120-4611 | 2006-10-27 |
| 1023194867 | David Alan Timm | Pediatrics | 308 Highland Blvd, Natchez, MS 39120-4611 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558903518 | Rosa L. Newman | Foster Care Agency | 722 North Rankin St, Natchez, MS 39120 | 2019-10-11 |
| 1114572625 | Tiffany Cassandra Lockhart | Counselor | 60 Roux Road, Natchez, MS 39120 | 2019-08-02 |
| 1164918728 | We Care Express LLC | Non-emergency Medical Transport (VAN) | 137 Greystone Pl, Natchez, MS 39120 | 2018-07-06 |
| 1053841585 | Tyler Lee Huls | Specialist/Technologist | 48 Sgt Prentiss Drive, Natchez, MS 39120 | 2017-06-18 |
| 1336594985 | Nkechinyere Christina Nwoko | Podiatrist | 46 Sgt Prentiss Dr Ste 201b, Natchez, MS 39120 | 2016-05-02 |
| 1073983433 | Lillie Christine Hauer | Case Manager/Care Coordinator | 9 Roux 61, Suite C, Natchez, MS 39120 | 2015-09-29 |
| 1760818017 | Miss-lou Dental LLC | Dentist | 110 Highway 61 South, Natchez, MS 39120 | 2013-09-18 |
| 1922344902 | Bluebonnet Dental Care Natchez | Dentist | 101 Highway 61 South, Natchez, MS 39120 | 2012-12-20 |
| 1265781033 | Hal Sheldon Edwards | Pharmacist | 285 Sgt Prentiss Drive, Natchez, MS 39120 | 2012-09-07 |
| 1790031607 | Catherine Misita | Social Worker | 113 N Union St, Natchez, MS 39120 | 2012-07-29 |
| Find all providers in zip 39120 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366890238 | David A. Timm, Md | Clinic/Center | 1221 Martin Luther King Jr Rd, Natchez, MS 39120-4611 | 2016-06-01 |
| 1356484604 | Natchez Rural Health Clinic, Inc | Clinic/Center | 500 N Martin Luther King Jr St, Natchez, MS 39120-2955 | 2007-02-15 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.