MR. TIMOTHY NORMAN CARREGA NP
NPI 1275873861
Nurse Practitioner - Family in Lawrenceville, GA

NPI Status: Active since February 19, 2013

Contact Information

1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (678) 312-3356

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Quality Reporting
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Nurse Practitioner
Family
Accepts Insurance
Medicare Quality Reporting

About TIMOTHY CARREGA

This page provides the complete NPI Profile along with additional information for Timothy Carrega, a provider established in Lawrenceville, Georgia with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1275873861 assigned on February 2013. The practitioner's primary taxonomy code is 363LF0000X with license number RN151657 (GA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI: 1275873861
Provider Name: MR. TIMOTHY NORMAN CARREGA NP
Gender: Male
Entity Type: Individual
Location Address: 1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046
Location Phone: (678) 312-3356
Mailing Address: 1000 MEDICAL CENTER BLVD LAWRENCEVILLE, GA 30046
Mailing Phone: (678) 312-3356
Is Sole Proprietor?: Yes
Enumeration Date: 02-19-2013
Last Update Date: 02-19-2013
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A nurse practitioner (NP) like Timothy Carrega is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

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: Nurse Practitioner Family
Taxonomy Code: 363LF0000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: RN151657
License State: GA

Insurance Plans Accepted

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

Oscar Health Plan, Inc.

Bronze Classic 4700 (Select) - HMO
Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
Bronze Classic Standard (Choice) - HMO
Bronze Classic Standard (Select) - HMO
Gold Classic Standard (Choice) - HMO
Gold Classic Standard (Select) - HMO
Secure (Choice) - HMO
Silver Classic Standard (Choice) - HMO
Silver Classic Standard (Select) - HMO
Silver Elite Saver Plus Rx Copay (Select) - HMO
Silver Simple Diabetes (Choice) - HMO
Silver Simple Diabetes (Select) - HMO
Silver Simple PCP Saver (Select) - HMO

Oscar Insurance Company

Bronze Classic 4700 - EPO
Bronze Classic 4700 | MercyOne - EPO
Bronze Classic Standard - EPO
Bronze Classic Standard | MercyOne - EPO
Bronze Elite + PCP Saver Plus - EPO
Bronze Elite + PCP Saver Plus | MercyOne - EPO
Gold Classic Standard - EPO
Gold Classic Standard | MercyOne - EPO
Gold Elite - EPO
Gold Elite | MercyOne - EPO
Secure - EPO
Secure | MercyOne - EPO
Silver Classic - EPO
Silver Classic | MercyOne - EPO
Silver Classic Standard - EPO
Silver Classic Standard | MercyOne - EPO
Silver Simple Diabetes - EPO
Silver Simple Diabetes | MercyOne - EPO
Silver Simple PCP Saver - EPO
Silver Simple PCP Saver | MercyOne - EPO

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

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure	Performance	Number of Patients
Implementation of an ASP	Yes	N/A
Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance
Implementation of formal quality improvement methods, practice changes, or other practice improvement processes	Yes	N/A
Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data.
Measurement and Improvement at the Practice and Panel Level	Yes	N/A
Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level.
Participation in an AHRQ-listed patient safety organization.	Yes	N/A
Participation in an AHRQ-listed patient safety organization.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	7	5	8	7	3	8	6	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	14	5	16	7	6	8	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 6 + 7 + 6 + 8 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 1									1

The NPI number 1275873861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

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

MRS. M. CHRISTINE HARTLEY RD, LD, CDE

Dietitian, Registered

1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA
ZIP 30046

About TIMOTHY CARREGA

Location Map

Specialty - Primary Taxonomy

Nurse Practitioner Family

Insurance Plans Accepted

Oscar Health Plan, Inc.

Oscar Insurance Company

Quality Reporting

Reviews for MR. TIMOTHY NORMAN CARREGA NP

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is Timothy Carrega's NPI number?

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What insurance does Timothy Carrega accept?