Active NPI
Daulton E Todd Jr., MD
- Internal Medicine Physician
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 029116
- Practice address
- 418 Pirkle Ferry Rd
Suite 103
Cumming, GA 30040-2529 - Phone
- (770) 781-6373
- Fax
- (770) 781-6381
- NPI assigned
- Jul 12, 2006
- Last updated
- Jun 24, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 029116 | GA | Primary |
Addresses
Primary practice location
418 Pirkle Ferry Rd
Suite 103
Cumming, GA 30040-2529
Mailing address
PO Box 1739
Cumming, GA 30028-1739
Phone (770) 781-6373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000344858B | Medicaid | GA |
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
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
418 Pirkle Ferry Rd
Suite 103
Cumming, GA 30040-2529
Phone (770) 781-6373
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 029116 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daulton E Todd Jr MD PC | Internal Medicine | Current | Accepting new patients |
| Chronic Disease Management of Georgia, LLC | Current | Accepting new patients | |
| Gold City Health & Rehab LLC | Past | Accepting new patients |
Locations
418 Pirkle Ferry Rd
Ste 103
Cumming, GA 30040
Phone (770) 781-6373
704 Breedlove Dr
#A
Monroe, GA 30655
Phone (888) 772-0076
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Cumming, GA
- NPI 1588049977
-
- Physical Medicine & Rehabilitation Physician
- Monroe, GA
- NPI 1699300939
-
dba Gold City Health and Rehab
- Skilled Nursing Facility
- Dahlonega, GA
- NPI 1174065601
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Agape Hospice Care
- Community Based Hospice Care Agency
- Lawrenceville, GA
- NPI 1932538964
-
dba Gold City Health and Rehab
- Skilled Nursing Facility
- Dahlonega, GA
- NPI 1174065601
Nursing home
-
- General Acute Care Hospital
- Dahlonega, GA
- NPI 1083174973
-
dba Northside Hospital Forsyth
- General Acute Care Hospital
- Cumming, GA
- NPI 1376574277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1447285770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1739",
"city": "CUMMING",
"state": "GA",
"postal_code": "300281739",
"telephone_number": "770-781-6373",
"fax_number": "770-781-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418 PIRKLE FERRY RD",
"address_2": "SUITE 103",
"city": "CUMMING",
"state": "GA",
"postal_code": "300402529",
"telephone_number": "770-781-6373",
"fax_number": "770-781-6381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "DAULTON",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "029116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000344858B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
- Lori Timmerman, M.S., CCC-A
- Lauren Miller Tison, LPC
- TK Wellness LLC (Hand and Stone Spa Cumming, GA)
- TMS Hope and Health of North Georgia
- Tobra Ramps LLC (American Ramp Systems of Metro Atlanta)
- Jodi Henderson Toledo, RN
- Michael Alan Tolson, M.D.
- Maggie Tomelevage, OTR/L
- Tompkins Family Chiropractic Inc.
- Eric William Tompkins, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.