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TIMOTHY JUSTIN OSBORNE M.D. NPI 1508090366


NPI Information

NPI: 1508090366
Provider Name: TIMOTHY JUSTIN OSBORNE, M.D.
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: MONTGOMERY EMERGENCY GROUP, LLC

PECOS Registration: Yes

Address:
303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA
ZIP 30474
Phone: (912) 535-7000
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Timothy Justin Osborne, M.D. is an emergency medicine in Vidalia, GA with 15 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Timothy Justin Osborne, M.D. NPI is 1508090366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MERCER UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

303 HARRIS INDUSTRIAL BLVD STE 5
VIDALIA, GA
ZIP 30474-854
Phone: (912) 535-7000
Fax: (912) 535-7020

The NPI 1508090366 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/8/2009 and was last updated on 5/15/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine8325558ALABAMANo
2207P00000XEmergency Medicine68085GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.