Active NPI
Timothy Mitch Carey, MD
- Medical Oncology Physician
- Gainesville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 059381
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834 - Phone
- (770) 297-5700
- Fax
- (770) 718-1187
- NPI assigned
- Jun 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 207RH0000X | 059381 | GA | |
| Medical Oncology Physician | 207RX0202X | 059381 | GA | Primary |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9474371 | Other | GA | MULTIPLAN |
| 9929041 | Other | GA | AETNA |
| 2789720 | Other | GA | UHC |
| 52205947 | Other | GA | BCBS |
| 4660355 | Other | CIGNA | |
| 880605214A | Medicaid | GA | |
| P00447452 | Other | GA | MEDICARE RAILROAD |
| 01054267 | Other | GA | AMERIGROUP |
| 391141 | Other | GA | WELLCARE |
| 880605214A | Other | GA | PEACH STATE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Medical College of Georgia School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1515 River PL
Suite 140
Braselton, GA 30517-5603
Phone (770) 297-5700
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Phone (770) 533-6511
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 533-6511
Hospital & facility affiliations
- Northeast Georgia Medical Center, Inc
- Northeast Georgia Medical Center Habersham
- NGMC Barrow, LLC
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.1 of 100
- Quality
- 87.6
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.07
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Longstreet Clinic PC | Current | Accepting new patients | |
| Northeast Georgia Community Physicians LLC | Current | Accepting new patients | |
| The Longstreet Clinic, PC | Current | Accepting new patients |
Locations
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501
Phone (770) 297-2200
Interoperability endpoints
- timothy.carey@longstreetclinic.gadirect.net
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1881583730
-
- Internal Medicine Physician
- Gainesville, GA
- NPI 1326019977
-
- Prosthetic/Orthotic Supplier
- Gainesville, GA
- NPI 1053422428
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winder, GA
- NPI 1881144889
-
- General Acute Care Hospital
- Demorest, GA
- NPI 1740981430
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1174725345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-535-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013834",
"telephone_number": "770-297-5700",
"fax_number": "770-718-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAREY",
"first_name": "TIMOTHY",
"middle_name": "MITCH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-01",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology",
"state": "GA",
"license": "059381",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "GA",
"license": "059381",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "9474371",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9929041",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "2789720",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52205947",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4660355",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "880605214A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00447452",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "01054267",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "391141",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACH STATE",
"identifier": "880605214A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.