Individual provider Active NPI

Jennifer M. Tutt, MD

  • Family Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1003866435
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
53382 Issued in GA
Practice address
755 Mount Vernon Hwy NE Ste 110
Sandy Springs, GA 30328-4276
Phone
(404) 419-4700
Fax
(404) 419-4701
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 41931 CO
Family Medicine Physician 207Q00000X 53382 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE Ste 110
Sandy Springs, GA 30328-4276

Mailing address

755 Mount Vernon Hwy NE Ste 110
Atlanta, GA 30328-4276
Phone (404) 419-4700

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
I20230203000508 GA Practitioner - Family Practice 4981696689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Drexel University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Partnermd Georgia PCGroup PAC ID 5294968673, 2 clinicians

Practice addresses (Care Compare)

755 Mount Vernon Hwy NE
Atlanta, GA 30328-4274
Phone (404) 419-4700

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41931COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System CurrentSince Mar 1, 2014 Accepting new patients
Portercare Adventist Health System CurrentSince Mar 1, 2014 Accepting new patients
Partnermd Georgia PC Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Inpatient Consultants of Colorado PC Family Medicine Past Accepting new patients
TMG Medical Group, P.a. PastSince Sep 1, 2007 Accepting new patients
Inpatient Consultants of Colorado, PC Family Medicine Past Accepting new patients
Southeast Family Practice Associates P C Family Medicine Past Accepting new patients

Locations

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

9670 W Coal Mine Ave
Ste 200
Littleton, CO 80123
Phone (303) 392-2121

755 Mount Vernon Hwy NE
Sandy Springs, GA 30328
Phone (404) 256-9544

755 Mount Vernon Hwy NE
Ste 110
Sandy Springs, GA 30328
Phone (404) 256-9692

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2180/brand/1/csg/21/fhir/r4
  • Direct secure messaging: jennifer.tutt.1@2180.direct.athenahealth.com

Organizations & group practices 8

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 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1003866435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284276",
            "telephone_number": "404-419-4700",
            "fax_number": "419-404-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE STE 110",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303284276",
            "telephone_number": "404-419-4700",
            "fax_number": "404-419-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTT",
        "first_name": "JENNIFER",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "41931",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "53382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.