TIMOTHY A HUMPHRIES (MD) – Trauma Surgery Physician, NPI 1689625162

TIMOTHY A HUMPHRIES (MD) is a healthcare provider. based in Marietta, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 053461 (GA). The NPI Number for TIMOTHY A HUMPHRIES (MD) is 1689625162

Main info

Male
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY A HUMPHRIES (MD)
NPI
1689625162
Phone
(770) 426-1629
Address
55 WHITCHER ST NE
Enumeration Date
12 May 2006
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
9123845832
Graduation Year
1996 (30 years ago)
PAC ID
6507857802
Group Practice PAC ID
5193727964
Professional Enrollment ID
I20040524000790
Address ID
GA315332211DO100XXDRXX305
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,092 GENERAL SURGERY in GA

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Provider Addresses for TIMOTHY A HUMPHRIES (MD)

  • 55, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    SUITE 130

    MARIETTA, GA 300601155

    Phone: (770) 426-1629

    Fax: (770) 427-8001

    Type: Location

  • PO BOX 1377

    DOUGLAS, GA 315341377

    Phone: (912) 384-1477

    Fax: (912) 384-1470

    Type: Mailing

  • 100 DOCTORS DR STE C

    DOUGLAS, GA 315332211

    Phone: (912) 384-5832

    Fax: (912) 383-8279

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $239.

Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.

Last reported payment date: 2024-09-10 • Largest payer in this snapshot: Organogenesis Inc. ($96).

Total Amount

$239

General + Research + Ownership

Payments

10

Total payment records

General Amount

$239

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040524000790IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2415$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193727964View full group profile
NameSpecialtyState
Nurse PractitionerGA
Family PracticeGA
O B S T E T R I C S/ G Y N E C O L O G YGA
U R O L O G YGA
General SurgeryGA
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerME
Cardiovascular Disease (Cardiology)GA
-GA
Cardiovascular Disease (Cardiology), Interventional CardiologyME

Reviews

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Frequently asked questions

How do I look up TIMOTHY A HUMPHRIES (MD) by NPI?
Use NPI 1689625162 when you need to reference TIMOTHY A HUMPHRIES (MD) in forms, claims, or directories.
Does this profile mean TIMOTHY A HUMPHRIES (MD) is currently active?
Yes — TIMOTHY A HUMPHRIES (MD) appears active in the national provider directory.
What does TIMOTHY A HUMPHRIES (MD) treat or focus on?
Patients typically see TIMOTHY A HUMPHRIES (MD) under the specialty Trauma Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TIMOTHY A HUMPHRIES (MD)?
The page summarizes Marietta, Georgia for TIMOTHY A HUMPHRIES (MD); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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