Active NPI
Jaime Drummond Kutter, PA-C, MPAS
- Medical Physician Assistant
- Alpharetta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 3780
- Practice address
- 3400B Old Milton Pkwy
Alpharetta, GA 30005 - Phone
- (770) 442-1413
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3780 | GA | Primary |
Addresses
Primary practice location
3400B Old Milton Pkwy
Alpharetta, GA 30005
Mailing address
6955 Lancaster Cir
Cumming, GA 30040-7340
Phone (770) 205-8285
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1050675 | Other | GA | NCCPA CERTIFICATE NUMBER |
| 3780 | Other | GA | STATE LICENSE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Physiotherapy Associates IncLegacy Healthcare Services Inc
Practice addresses (Care Compare)
1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436
2595 Peachtree Pkwy
Cumming, GA 30041-7223
Phone (678) 666-5444
3970 Deputy Bill Cantrell Mem
Suite 150
Cumming, GA 30040-3069
Phone (770) 781-8004
400 Dawson Commons Cir
Suite 430
Dawsonville, GA 30534-6269
Phone (706) 265-8790
901 Haymon Morris Rd
Winder, GA 30680-7837
Phone (678) 705-2123
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3780 | GA | MD | Medical Physician Assistant |
Interoperability endpoints
- jaimekutter@mfm.allscriptsdirect.net
- jaime.kutter.1@21533.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1558872432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831247501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6955 LANCASTER CIR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300407340",
"telephone_number": "770-205-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400B OLD MILTON PKWY",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30005",
"telephone_number": "770-442-1413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTTER",
"first_name": "JAIME",
"middle_name": "DRUMMOND",
"name_prefix": "Mrs.",
"credential": "PA-C, MPAS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "3780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATE NUMBER",
"identifier": "1050675",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3780",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alpharetta, GA
Sources for this page
- 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.
- 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.