Individual provider Active NPI

Mark Craton Hutto, MD

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1699844159
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
21010 Issued in GA
Practice address
2150 Peachford Road
Suite R
Atlanta, GA 30338-6534
Phone
(770) 455-0261
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 21010 GA Primary

Addresses

Primary practice location

2150 Peachford Road
Suite R
Atlanta, GA 30338-6534

Mailing address

2150 Peachford Road
Suite R
Atlanta, GA 30338-6534

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
I20111115000204 GA Practitioner - Psychiatry 1951575646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Emory University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Peachford, L.P.Group PAC ID 9234123894, 2 clinicians

Practice addresses (Care Compare)

2151 Peachford Rd
Atlanta, GA 30338-6534
Phone (770) 455-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21010GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Peachford LP Psychiatry CurrentSince Jun 1, 2022 Accepting new patients
Uhs of Peachford LP CurrentSince Jun 1, 2022 Accepting new patients
Uhs of Peachford, L.P. Past Accepting new patients

Locations

2150 Peachford Rd
Ste B
Atlanta, GA 30338
Phone (404) 455-0201

2150 Peachford Rd
Ste R
Atlanta, GA 30338
Phone (678) 234-1121

2151 Peachford Rd
Dunwoody, GA 30338
Phone (770) 313-2034

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699844159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD ROAD",
            "address_2": "SUITE R",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PEACHFORD ROAD",
            "address_2": "SUITE R",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386534",
            "telephone_number": "770-455-0261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTO",
        "first_name": "MARK",
        "middle_name": "CRATON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "21010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.