Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy Hanley

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851750111

Timothy Hanley is an Emergency Medicine in Covington, Georgia. Graduated from Nova Southeastern College of Osteo Medicine in 2016, 10 years ago. Practices with South Shore Health Express Inc, a 30-clinician group and accepts Medicare assignment. Licensed in Georgia, Massachusetts and Michigan.

Years since qualifying
10
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
GA, MA, MI
In the registry since
2016
Specialties on file
4
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Practice location Address checks out

5126 Hospital Dr NE
Covington, GA 30014-2566
Phone: (508) 463-5964
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 88101 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Emergency Medicine Physician Taxonomy 207P00000X · Licence 282909 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 5101022444 (MI)

Record details

NPI number1851750111
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2016
Last updated in NPPESApril 13, 2022
Certification dateApril 13, 2022
Mailing address34 Rosewood Ave, Attleboro, MA 02703-5913

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2016 (10 years in practice)
Group practice South Shore Health Express Inc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Covington