James Madison Avery Tuggle
Individual provider Active NPI Anesthesiologist Assistant · Atlanta, GA
NPI 1770045882 · NPPES record last updated Sep 13, 2019
Key facts
- NPI
- 1770045882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 9433 (GA)
- Practice address
- 1364 Clifton Rd NE
Atlanta, GA 30322 - Phone
- (404) 712-2000
- NPI assigned
- Apr 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Emory University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Emory Clinic Inc
Practice addresses (Care Compare)
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525
Hospital & facility affiliations
- Emory University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191118003297 | GA | Practitioner - Anesthesiology Assistant | 2062844731 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9433 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Emory Clinic Inc | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Georgia Anesthesiologists, PC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients |
Locations
1364 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 712-7100
1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
531 Roselane St NW
Ste 830
Marietta, GA 30060
Phone (770) 658-9739
805 Sandy Plains Rd
Marietta, GA 30066
Phone (770) 792-1616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 9433 | GA | Yes |
Addresses
Primary practice location
1364 Clifton Rd NE
Atlanta, GA 30322
Mailing address
1364 Clifton Rd NE
Atlanta, GA 30322-1064
Phone (404) 712-2000
Other practice location 1
1514 Sheridan Rd NE Apt 2303
Atlanta, GA 30324-5468
Phone (678) 602-5589
Other providers in Atlanta, GA
- Robert P Tucker III
- Sonjia L. Tucker
- Thomas S. Tucker
- Whitley Tucker
- Kimberly Tufton
- Jessica D. Tuggle
- Karleena Regina-Marie Tuggle
- Anni Kaarina Tuikka
- Cathleen H. Tuley
- Christina Manuela Tull
All providers in Atlanta, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.