Individual provider Active NPI

Timothy Patrick McCarthy, MD

  • Orthopaedic Surgery Physician
  • Cumming, GA
National Provider Identifier
1104246560
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
95224 Issued in GA
Practice address
2860 Ronald Reagan Blvd Ste 300
Cumming, GA 30041-6092
Phone
(404) 355-0743
Fax
(855) 283-8851
NPI assigned
Apr 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DR.0067914 CO
Orthopaedic Surgery Physician 207X00000X MD-46304 IA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X DR.0067914 CO
Orthopaedic Surgery Physician 207X00000X 95224 GA Primary

Addresses

Primary practice location

2860 Ronald Reagan Blvd Ste 300
Cumming, GA 30041-6092

Mailing address

2001 Peachtree Rd NE Ste 705
Atlanta, GA 30309-1476
Phone (404) 355-0743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230817002720 GA Practitioner - Orthopedic Surgery 0244535243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Creighton University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Orthopaedic Clinic of Georgia, LLCGroup PAC ID 3072041748, 15 clinicians
Peachtree Orthopaedic Clinic PAGroup PAC ID 4587552963, 138 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

1524 River PL
Braselton, GA 30517-5636

2860 Ronald Reagan Blvd
Suite 300
Cumming, GA 30041-6287
Phone (770) 977-7777

400 Dawson Commons Cir
Dawsonville, GA 30534-6269
Phone (706) 265-8790

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.9 of 100Reported as group
Promoting interoperability
94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)23
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95224GAMDOrthopaedic Surgery Physician
MD-46304IAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Orthopaedic Clinic CurrentSince Sep 18, 2023 Accepting new patients
Peachtree Orthopaedic Clinic PA Orthopaedic Surgery CurrentSince Sep 18, 2023 Accepting new patients
Peachtree Orthopaedic Surgery Center-North, LLC PastSince May 25, 2021 Accepting new patients
Northside Imaging LLC Past Accepting new patients

Locations

1000 Northside Dr NW
Ste 1500
Atlanta, GA 30318
Phone (404) 350-2446

3200 Downwood Cir NW
Ste 500
Atlanta, GA 30327
Phone (404) 352-4500

77 Collier Rd NW
Ste 2000
Atlanta, GA 30309
Phone (404) 242-7263

3200 Downwood Cir NW
Ste 700
Atlanta, GA 30327
Phone (404) 355-8066

2001 Peachtree Rd NE
Ste 705
Atlanta, GA 30309

1901 Phoenix Blvd
Ste 200
College Park, GA 30349
Phone (678) 335-9010

1901 Phoenix Blvd
Ste 120
College Park, GA 30349
Phone (404) 355-6548

2860 Ronald Reagan Blvd
Ste 240
Cumming, GA 30041

2860 Ronald Reagan Blvd
Ste 300
Cumming, GA 30041
Phone (404) 355-0742

2860 Ronald Reagan Blvd
Ste 100
Cumming, GA 30041
Phone (404) 425-1500

2860 Ronald Reagan Blvd
Ste 120
Cumming, GA 30041

142 Prestige Ln
Ste 600
Dawsonville, GA 30534

3870 Pleasant Hill Rd
Ste 1
Duluth, GA 30096
Phone (404) 425-1100

1163 Johnson Ferry Rd
Ste 200
Marietta, GA 30068
Phone (770) 977-7777

5505 Ptree Dunwoody Rd NE
Ste 150
Sandy Springs, GA 30342
Phone (404) 847-0893

5505 Peachtree Dunwoody Rd
Ste 590
Sandy Springs, GA 30342

101 Smoke Hill Ln
Ste 120
Woodstock, GA 30188
Phone (404) 425-1222

Interoperability endpoints

  • Direct secure messaging: timothy.mccarthy.1@8474.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1104246560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PEACHTREE RD NE STE 705",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091476",
            "telephone_number": "404-355-0743",
            "fax_number": "855-270-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 RONALD REAGAN BLVD STE 300",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300416092",
            "telephone_number": "404-355-0743",
            "fax_number": "855-283-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CO",
            "license": "DR.0067914",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "MD-46304",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "DR.0067914",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "95224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

Verify at the official NPI Registry.