KAREN P. TIMBERLAKE (M.D.) – Pediatrics Physician, NPI 1891712535
Pediatrics Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for KAREN P. TIMBERLAKE (M.D.)
420, 2nd Avenue, Rome, Floyd County, Georgia, 30161, United States
SUITE 103
ROME, GA 301613224
Phone: (706) 509-3000
Fax: (706) 509-4608
Type: Mailing
330 Turner McCall Blvd SW
Suite 205
Rome, GA 301655630
Phone: (706) 234-2324
Fax: (706) 234-1491
Type: Location
304 SHORTER AVE NW STE 105
ROME, GA 301654256
Phone: (706) 291-4880
Type: Location
420 E 2ND AVE STE 103
ROME, GA 301613210
Phone: (706) 509-3000
Fax: (706) 509-4608
Type: Mailing
330, Turner McCall Boulevard, DeSoto Homes, Rome, Floyd County, Georgia, 30165, United States
SUITE 205
ROME, GA 301655630
Phone: (706) 234-2324
Fax: (706) 234-1491
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2007-06-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070618000402 | I | Pediatric Medicine | GA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30161)
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