MEDICARE: EDWARD M TIMMINS DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	85151	GA
2	208600000X	Surgery Physician	190433	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649290016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD M TIMMINS DO

Provider Business Mailing Address
First Line	:	4181 HOSPITAL DR NE STE 303
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-2541
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4181 HOSPITAL DR NE STE 303
Second Line	:
City	:	COVINGTON
State	:	GA
Zip	:	30014-2541
Country	:	US
Telephone Number	:	678-471-0128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	05/11/2026

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Directions to “ EDWARD M TIMMINS DO” Practice Location

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