NPIMap

Individual provider Active NPI

Jonathan A Tuttle, M.D.

  • Neurological Surgery Physician
  • Augusta, GA
National Provider Identifier
1871708768
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
000352 Issued in GA
Practice address
840 Stevens Creek Rd
Augusta, GA 30907
Phone
(706) 722-6957
Fax
(706) 722-1999
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 000352 GA Primary

Addresses

Primary practice location

840 Stevens Creek Rd
Augusta, GA 30907

Mailing address

840 Stevens Creek Rd
Augusta, GA 30907-9251
Phone (706) 722-6957

Other practice location 1

30 E Apple St
Ste 5254A
Dayton, OH 45409-2939
Phone (937) 208-4200

Other identifiers 1

IdentifierTypeStateIssuer
0154061MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090706000537 GA Practitioner - Neurosurgery 5496806341 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Wright State University Boonshoft School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Providers LLCGroup PAC ID 9830082825, 526 clinicians

Practice addresses (Care Compare)

1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810

51 Hospital Rd
Newnan, GA 30263-1209
Phone (770) 251-5540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion156
Laminectomy or laminotomy (partial removal of spine bones)58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000352GAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Umg Neurosurgery LLC CurrentSince Dec 1, 2017 Accepting new patients
Umg Neurosurgery LLC Neurological Surgery CurrentSince Dec 1, 2017 Accepting new patients
Piedmont Providers LLC CurrentSince Sep 1, 2023 Accepting new patients

Locations

1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

840 Stevens Creek Rd
Augusta, GA 30907
Phone (706) 722-6957

51 Hospital Rd
Newnan, GA 30263
Phone (770) 251-5540

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1871708768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 STEVENS CREEK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309079251",
            "telephone_number": "706-722-6957",
            "fax_number": "706-722-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 STEVENS CREEK RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30907",
            "telephone_number": "706-722-6957",
            "fax_number": "706-722-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Apple St",
            "address_2": "Ste 5254A",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-4200",
            "fax_number": "937-208-4205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUTTLE",
        "first_name": "JONATHAN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "000352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154061",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.