MR. TIMOTHY MACON SFIDC
NPI 1164499513
Military Health Care Provider - Independent Duty Corpsman in Goose Creek, SC

Q: What is Timothy Macon's NPI number?

The NPI number for Timothy Macon is 1164499513. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Q: What is Timothy Macon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Macon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 03, 2006

123 SULLY ST, GOOSE CREEK, SC 29445(843) 797-0003 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Timothy Macon Sfidc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY MACON SFIDC (NPI 1164499513) is an individual independent duty corpsman provider in Goose Creek, South Carolina and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1164499513

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. TIMOTHY MACONCredential: SFIDC

Location Address123 SULLY STGoose Creek, SC 29445-5447

Mailing Address123 Sully StGoose Creek, SC 29445-5447 · (843) 797-0003

Phone(843) 797-0003

Sole ProprietorNo

Enumeration DateMarch 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164499513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

123 SULLY ST, Goose Creek, SC 29445

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Macon's NPI number?

The NPI number for Timothy Macon is 1164499513. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Timothy Macon located?

Timothy Macon practices at 123 Sully St, Goose Creek, SC 29445. The listed phone number is (843) 797-0003.

What is Timothy Macon's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Timothy Macon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.