GREGORY TIMBERLAKE MD
NPI 1730260613
Surgery - Surgical Critical Care in Jackson, MS

NPI Status: Active since October 18, 2006

Contact Information

2500 N STATE ST
JACKSON, MS
ZIP 39216
Phone: (601) 984-1000
Fax: (601) 815-4570

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  • Individual
  • Male
  • Surgery
  • Surgical Critical Care

About GREGORY TIMBERLAKE

This page provides the complete NPI Profile along with additional information for Gregory Timberlake, a provider established in Jackson, Mississippi with a medical specialization in Surgery, focusing in surgical critical care . The healthcare provider is registered in the NPI registry with number 1730260613 assigned on October 2006. The practitioner's primary taxonomy code is 2086S0102X with license number 17108 (MS). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1730260613
Provider Name
GREGORY TIMBERLAKE MD
Gender
Male
Entity Type
Individual
Location Address
2500 N STATE ST JACKSON, MS 39216
Location Phone
(601) 984-1000
Location Fax
(601) 815-4570
Mailing Address
PO BOX 3287 JACKSON, MS 39207
Mailing Phone
(601) 984-1000
Mailing Fax
(601) 815-4570
Is Sole Proprietor?
No
Enumeration Date
10-18-2006
Last Update Date
12-16-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Surgery Surgical Critical Care

Taxonomy Code
2086S0102X
Type
Allopathic & Osteopathic Physicians
License No.
17108
License State
MS
Taxonomy Description
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

17108 (MS)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
302I021729MEDICARE PIN (08)MS 
020000414MEDICARE ID-TYPE UNSPECIFIED (04)MS 
00123637MEDICAID (05)MS 
P01233200OTHER (01)MSRAILROAD MEDICARE
B62437MEDICARE UPIN (02) 
298342YJ5DMEDICARE PIN (08)MS 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730260613, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 4 + 6 + 0 + 6 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1730260613.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Pharmacist (Psychiatric)
2500 N STATE ST
JACKSON, MS 39216
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Dentist
2500 N STATE ST
JACKSON, MS 39216
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Dentist
2500 N STATE ST, UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
JACKSON, MS 39216
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
2500 N STATE ST
JACKSON, MS 39216
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Nurse Practitioner
2500 N STATE ST
JACKSON, MS 39216
Neurological Surgery
2500 N STATE ST, N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
2500 N STATE ST
JACKSON, MS 39216
Clinical Neuropsychologist
2500 N STATE ST
JACKSON, MS 39216
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Medical Genetics (Clinical Genetics (M.D.))
2500 N STATE ST, DEPARTMENT OF PREVENTIVE MEDICINE
JACKSON, MS 39216
Clinical Medical Laboratory
2500 N STATE ST
JACKSON, MS 39216
Pediatrics (Pediatric Critical Care Medicine)
2500 N STATE ST
JACKSON, MS 39216
Pediatrics (Pediatric Critical Care Medicine)
2500 N STATE ST
JACKSON, MS 39216
Pediatrics (Pediatric Infectious Diseases)
2500 N STATE ST
JACKSON, MS 39216
Pediatrics
2500 N STATE ST
JACKSON, MS 39216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730260613, enumerated as an "individual" on October 18, 2006.

The provider is located at 2500 N STATE ST JACKSON, MS 39216 and the phone number is (601) 984-1000.

Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.