Active NPI
Logan Deliverance Tuttle, PA
- Physician Assistant
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10968
- Practice address
- 1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110 - Phone
- (770) 716-0051
- NPI assigned
- Aug 27, 2019
- Last updated
- Apr 30, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10968 | GA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1267 Highway 54 W Ste 2200
Fayetteville, GA 30214-2110
Mailing address
110 Field St Apt D253
Newnan, GA 30263-1991
Phone (435) 609-3153
Other practice location 1
1462 Clifton Rd NE Ste 280
Atlanta, GA 30322-1000
Phone (404) 727-7825
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10968 | GA | MD | Dentist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1396798229
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Emory University Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1588640692
-
dba Emory University Hospital At Wesley Woods
- General Acute Care Hospital
- Atlanta, GA
- NPI 1770560294
-
dba Piedmont Fayette Hospital
- General Acute Care Hospital
- Fayetteville, GA
- NPI 1528027240
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1306494976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 FIELD ST APT D253",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302631991",
"telephone_number": "435-609-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W STE 2200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142110",
"telephone_number": "770-716-0051"
}
],
"practiceLocations": [
{
"address_1": "1462 Clifton Rd NE Ste 280",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303221000",
"country_code": "US",
"telephone_number": "404-727-7825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUTTLE",
"first_name": "LOGAN",
"middle_name": "DELIVERANCE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "10968",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
- Heather S. Turner, M.D.
- Pamala Denise Turner, FNP
- Whitley Brooke Turner, NP
- Turning Point Counseling Services, LLC
- Turning Point, New Directions, Inc. (Turning Point, New Directions for Families, Inc.)
- Folasade Faith Uhakheme, PMHNP-BC, APRN, MSN
- Stacy M Ulmer, CNM
- Ummahtek & Associates, Inc.
- Universal Conglomerate Inc
- University EMS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.