Individual provider Active NPI

Titus D Duncan, M.D.

  • Specialist
  • Atlanta, GA
National Provider Identifier
1366480402
Registry record updated Jul 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
020692 Issued in GA
Practice address
315 Boulevard NE
Suite 224
Atlanta, GA 30312-1200
Phone
(678) 553-3174
Fax
(678) 553-3179
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 020692 GA Primary

Addresses

Primary practice location

315 Boulevard NE
Suite 224
Atlanta, GA 30312-1200

Mailing address

285 Boulevard NE
Suite 120
Atlanta, GA 30312-4205
Phone (678) 553-3177

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
I20120201000177 GA Practitioner - General SurgeryPractitioner - Other (Physician) 6204916307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Surgical and BariatricsGroup PAC ID 4981692902, 2 clinicians

Practice addresses (Care Compare)

4200 Northside Pkwy NW
Atlanta, GA 30327-3007
Phone (404) 881-8020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
020692GAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Surgical & Bariatrics Specialist CurrentSince Feb 25, 2012 Accepting new patients
Aasc, LLC PastSince Oct 28, 2010 Accepting new patients
Surgery Center of Atlanta, LLC PastSince Jan 6, 2014 Accepting new patients

Locations

4200 Northside Pkwy NW
#8
Atlanta, GA 30327
Phone (404) 881-8020

285 Boulevard NE
Ste 120
Atlanta, GA 30312
Phone (404) 881-8020

4200 Northside Pkwy NW
Bldg 8
Atlanta, GA 30327
Phone (404) 233-3833

4200 Northside Pkwy NW
Bldg 88
Atlanta, GA 30327

315 Boulevard NE
Ste 224
Atlanta, GA 30312
Phone (404) 265-6888

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/c4a6a212-76d6-464f-ba2c-c6e11ea9c530/

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341360000000",
    "number": "1366480402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "678-553-3177",
            "fax_number": "678-539-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BOULEVARD NE",
            "address_2": "SUITE 224",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121200",
            "telephone_number": "678-553-3174",
            "fax_number": "678-553-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "TITUS",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "020692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.