TIMOTHY CONN JR.
NPI 1366977068
Nurse Practitioner - Family in Hattiesburg, MS

Q: What is Timothy Conn's NPI number?

The NPI number for Timothy Conn is 1366977068. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Q: What is Timothy Conn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Conn was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 01, 2017PECOS EnrolledAccepts Medicare Assignment

5003 HARDY ST STE 200, HATTIESBURG, MS 39402(601) 261-5700(601) 261-5777 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2021, Mar 29, 2021 (2 updates tracked since 2021).

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About Timothy Conn Jr. NPPES

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

TIMOTHY CONN JR. (NPI 1366977068) is an individual family provider in Hattiesburg, Mississippi, licensed in Mississippi (874273) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1366977068

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameTIMOTHY CONN JR.

Location Address5003 HARDY ST STE 200Hattiesburg, MS 39402-1331

Mailing Address5003 Hardy St Ste 200Hattiesburg, MS 39402-1331 · (601) 261-5700 · Fax (601) 261-5777

Phone(601) 261-5700

Fax(601) 261-5777

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMay 1, 2017

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1366977068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 874273

5003 HARDY ST STE 200, Hattiesburg, MS 39402

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Other Identifiers 2

Other902061MS · Nurse Practitioner License

Medicaid03329291MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Timothy Conn Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991073587

PECOS Enrollment IDI20170623000662

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

1,031 services153 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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