LOGAN DELIVERANCE TUTTLE PA
NPI 1306494976
Physician Assistant in Fayetteville, GA

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
90.8/100
CMS Quality Rating
1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214(770) 716-0051 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2026, May 16, 2022, May 13, 2022 and 1 more (4 updates tracked since 2019).

About Logan Deliverance Tuttle Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN DELIVERANCE TUTTLE PA (NPI 1306494976) is an individual physician assistant in Fayetteville, Georgia, licensed in Georgia (10968) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Piedmont Fayette Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1306494976
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameLOGAN DELIVERANCE TUTTLECredential: PA
Location Address1267 HIGHWAY 54 W STE 2200Fayetteville, GA 30214-2110
Mailing Address110 Field St Apt D253Newnan, GA 30263-1991 · (435) 609-3153
Sole ProprietorYes
Medical School CMSEmory University School Of MedicineGraduated 2021
Enumeration DateAugust 27, 2019
Last NPPES UpdateApril 30, 20264 updates tracked since enumeration
NPPES CertifiedApril 30, 2026
NPI 1306494976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 10968
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1267 HIGHWAY 54 W STE 2200, Fayetteville, GA 30214

Secondary Practice Location 1

Location 11462 Clifton Rd NE Ste 280Atlanta, GA 30322-1000 · Phone (404) 727-7825

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Logan Deliverance Tuttle Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597152736
PECOS Enrollment IDI20220419000091
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services Birthing friendly

Piedmont Newnan Hospital, Inc

Acute Care Hospitals · Newnan, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110229
Location745 Poplar RoadNewnan, GA 30265 · Coweta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability98
Improvement Activities20

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Interventional Cardiology)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Nurse Practitioner (Family)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214
Nurse Practitioner
1267 HIGHWAY 54 W STE 2200
FAYETTEVILLE, GA 30214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Tuttle's NPI number?

The NPI number for Logan Tuttle is 1306494976. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Logan Tuttle located?

Logan Tuttle practices at 1267 Highway 54 W Ste 2200, Fayetteville, GA 30214. The listed phone number is (770) 716-0051.

What is Logan Tuttle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Logan Tuttle enrolled in Medicare?

Yes. Logan Tuttle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Logan Tuttle affiliated with any hospitals?

According to CMS data, Logan Tuttle is affiliated with Piedmont Fayette Hospital and Piedmont Newnan Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Logan Tuttle was last updated on April 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.