DAULTON E TODD JR. MD
NPI 1447285770
Internal Medicine in Cumming, GA

Active since July 12, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D0989814 · Waiver
418 PIRKLE FERRY RD, SUITE 103, CUMMING, GA 30040(770) 781-6373(770) 781-6381 Get Directions Write a Review

NPPES record last updated: June 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Daulton E Todd Jr. Md NPPES

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

DAULTON E TODD JR. MD (NPI 1447285770) is an individual internal medicine provider in Cumming, Georgia, licensed in Georgia (029116) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 6, 2027, and is affiliated with Northside Hospital Forsyth.

NPPES Registry Identity

NPI1447285770
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDAULTON E TODD JR.Credential: MD
Location Address418 PIRKLE FERRY RD, SUITE 103Cumming, GA 30040-2529
Mailing AddressPo Box 1739Cumming, GA 30028-1739 · (770) 781-6373 · Fax (770) 781-6381
Fax(770) 781-6381
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJuly 12, 2006
Last NPPES UpdateJune 24, 2010
NPI 1447285770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 029116
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
418 PIRKLE FERRY RD, Cumming, GA 30040

Other Identifiers 3

Medicare ID-Type Unspecified11BDVCF
Medicare UPINE01115
Medicaid000344858BGA

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

Daulton E Todd Jr. Md 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 ID8123198595
PECOS Enrollment IDI20080528000711
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0989814

Daulton E Todd Jr MD PC · Cumming, GA
Active · expires Aug 6, 2027
CLIA Number11D0989814
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorDaulton E. Todd Jr MD
Laboratory Phone(770) 781-6373
Laboratory LocationDaulton E Todd Jr MD PC418 Pirlke Ferry Road, Cumming, GA 30040
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
237 services81 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
67 services47 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
65 services45 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
57 services56 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Internal Medicine
418 PIRKLE FERRY RD, STE 103
CUMMING, GA 30040
Counselor (Professional)
418 PIRKLE FERRY RD, STE #104
CUMMING, GA 30040

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 Daulton Todd's NPI number?

The NPI number for Daulton Todd is 1447285770. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Daulton Todd located?

Daulton Todd practices at 418 Pirkle Ferry Rd Suite 103, Cumming, GA 30040. The listed phone number is (770) 781-6373.

What is Daulton Todd's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Daulton Todd enrolled in Medicare?

Yes. Daulton Todd 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.

Does Daulton Todd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0989814) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Daulton Todd affiliated with any hospitals?

According to CMS data, Daulton Todd is affiliated with Northside Hospital Forsyth and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Daulton Todd was last updated on June 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.