Jerry Curtis Tootle, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

12584 Issued in GA

Practice address

2655 Gadsen Walk
Duluth, GA 30097-4351

Phone

(678) 473-4884

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659497907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 GADSEN WALK",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974351",
            "telephone_number": "678-473-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 GADSEN WALK",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974351",
            "telephone_number": "678-473-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOTLE",
        "first_name": "JERRY",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "12584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• TJ Holdings, LLC (Prium)
• TMP Non Emergency Transportation LLC
• Mariah J Tolbert
• Sade Toney
• Elizabeth Toomer, PT, DPT
• Eliud Torres, M.D.
• Total Renal Care Inc (Medlock Bridge Dialysis)
• Total Sleep Diagnostics, Inc.
• Total Sleep Holdings, Inc. (Sleep Ave)
• Town Dentistry of Duluth, LLC

• Surgery Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.