DIXIE L TIMMS (NPI# 1184098832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184098832 |
| Entity Type | Individual |
| Full Name | DIXIE L TIMMS |
| Credential | PA |
| Practice Address |
160 Academy Ave Greenwood SC 29646-3808 |
| Practice Telephone | 8642238090 |
| Practice Fax Number | 8642234026 |
| Mailing Telephone | 8642238090 |
| Mailing Fax Number | 8642234026 |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2016-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2476 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 2450PA | 05 |
| Street Address |
160 ACADEMY AVE |
| City | GREENWOOD |
| State | SC |
| Zip Code | 29646-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780679241 | Jeffrey Bernard Thomas | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2005-09-12 |
| 1578123840 | Victoria Ghahhari | Physician Assistant | 160 Academy Ave, Greenwood, SC 29646-3808 | 2019-06-18 |
| 1801454046 | Michael Phelps | Nurse Practitioner | 160 Academy Ave, Greenwood, SC 29646-3808 | 2019-06-03 |
| 1124488895 | Self Medical Group | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2016-02-24 |
| 1497049811 | Debbie Harling | Registered Nurse | 160 Academy Ave, Greenwood, SC 29646-3808 | 2011-06-02 |
| 1104131143 | Anas Abdel Azim | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2010-08-14 |
| 1487894069 | Anit S Vettukattil | Surgery | 160 Academy Ave, Greenwood, SC 29646-3808 | 2009-02-23 |
| 1134380678 | Kevin L. Morton | Nurse Practitioner | 160 Academy Ave, Greenwood, SC 29646-3808 | 2008-06-18 |
| 1720194178 | Angelia Graham Bell | Registered Nurse | 160 Academy Ave, Greenwood, SC 29646-3808 | 2006-08-21 |
| 1639285083 | John David Konsek | Surgery | 160 Academy Ave, Greenwood, SC 29646 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535416 | Supriya Lal | Dietitian, Registered | 303 Parkwood Rd, Greenwood, SC 29646 | 2020-07-22 |
| 1174158406 | Mara L Schwartz | Registered Nurse | 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 | 2020-03-06 |
| 1487213724 | Greater Greenwood United Ministry | Family Medicine | 1404 Edgefield Street, Greenwood, SC 29646 | 2019-06-11 |
| 1346747995 | Kelli Diane Clune | Nurse Practitioner | 115 E Alexander Ave, Greenwood, SC 29646 | 2018-04-10 |
| 1184150112 | Sanquinette Sanders Brownlee | Nurse Practitioner | 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 | 2017-05-11 |
| 1194258426 | Kimberley Lovejoy | Assistant Behavior Analyst | 210a Birchtree, Greenwood, SC 29646 | 2017-04-04 |
| 1427590900 | Rejuvenation Massage By Frances | Clinic/Center | 610 Chace Avenue, Greenwood, SC 29646 | 2016-11-15 |
| 1932651643 | Hayley Smith | Counselor | 110 Court Ave W, Greenwood, SC 29646 | 2016-10-28 |
| 1942757927 | Towanda Morton | Community Health Worker | 303 Suite B South Main Street, Greenwood, SC 29646 | 2016-09-07 |
| 1770039976 | Bragan Mace | Pharmacist | 1376 South Main St., Greenwood, SC 29646 | 2016-08-28 |
| Find all providers in zip 29646 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477536530 | David Bertrand Rose | Physician Assistant | 369 Euclid Ave, Greenwood, IN 46142-3613 | 2005-11-22 |
| 1215385174 | Erika Leigh Felt | Physician Assistant | 701 E County Line Rd, Suite 201, Greenwood, IN 46143-1072 | 2016-06-01 |
| 1346613825 | Robin Hemrick | Physician Assistant | 1260 Innovation Pkwy Ste 100, Greenwood, IN 46143-3602 | 2015-11-05 |
| 1710058342 | Jessica Smith Willard | Physician Assistant | 102 Gregor Mendel Cir, Greenwood, SC 29646-2315 | 2006-11-13 |
| 1689765927 | Julie Anne Heimann | Physician Assistant | 701 East County Line Road, Suite 201, Greenwood, IN 46143 | 2006-09-28 |
| 1285643049 | Kari Menard | Physician Assistant | 1260 Innovation Pkwy, Ste 100, Greenwood, IN 46143-3601 | 2006-08-07 |
| 1265453831 | Aaron L Egbert | Physician Assistant | 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 | 2006-07-21 |
| 1497787386 | Stephen L. Huffaker | Physician Assistant | 105 Vine Crest Ct, Ste 500, Greenwood, SC 29646-8031 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140451 | Nichole Lemay | Physician Assistant | 9 Richland Medical Park Dr Ste 640, Columbia, SC 29203 | 2018-10-19 |
| 1588183909 | John Edward Carpenter | Physician Assistant | 50 E Hospital St Ste 6, Manning, SC 29102-3149 | 2017-09-18 |
| 1689116006 | Healing Hands Surgical Assisting | Physician Assistant | 456 Bates Crossing Rd, Travelers Rest, SC 29690-9277 | 2016-11-16 |
| 1003207101 | Kimberly Anne Caldwell | Physician Assistant | 306 Roosevelt Ave, Travelers Rest, SC 29690-1750 | 2015-02-10 |
| 1144653742 | Carrie Marie Thompson | Physician Assistant | 96 Jonathan Lucus Street, Csb He320e, Charleston, SC 29425 | 2013-08-19 |
| 1437400363 | William Travis Jeffcoat | Physician Assistant | 109 Health Way, Anderson, SC 29621-3333 | 2012-10-02 |
| 1609184316 | Kym L Kittle | Physician Assistant | 161 Ashley Ave, Charleston, SC 29425-8905 | 2010-09-15 |
| 1093960957 | Stephen Utenick | Physician Assistant | 105 Beason Farm Ln, Simpsonville, SC 29681-6509 | 2008-11-19 |
| 1689849457 | First Surgical Associates, LLC | Physician Assistant | 1004 Wells St, Bennettsville, SC 29512-2718 | 2008-04-23 |
| 1922270594 | Kati George Carter | Physician Assistant | 890 W Faris Rd Ste 550, Greenville, SC 29605-4286 | 2008-03-24 |
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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.