CLAUDIA FOTZEU TOUKAM MD, MPH
NPI 1962674143
Internal Medicine in Austell, GA

Active since March 28, 2008PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1790 MULKEY RD STE 5A, AUSTELL, GA 30106(404) 265-1044 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 31, 2022, Nov 13, 2019 (2 updates tracked since 2019).

About Claudia Fotzeu Toukam Md, Mph NPPES

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

CLAUDIA FOTZEU TOUKAM MD, MPH (NPI 1962674143) is an individual internal medicine provider in Austell, Georgia, licensed in Georgia (63329) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS, is affiliated with Southern Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962674143
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameCLAUDIA FOTZEU TOUKAMCredential: MD, MPH
Location Address1790 MULKEY RD STE 5AAustell, GA 30106-1122
Mailing Address805 Sandy Plains Road, Medical Staff ServicesMarietta, GA 30066-6340
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMarch 28, 2008
Last NPPES UpdateOctober 31, 20222 updates tracked since enumeration
NPPES CertifiedOctober 31, 2022
✔ NPI 1962674143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 63329✔ Licensed in GA · 001986
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.
1790 MULKEY RD STE 5A, Austell, GA 30106

Secondary Practice Locations 2

Location 180 Jesse Hill Jr Dr SEAtlanta, GA 30303-3031 · Phone (404) 756-5271
Location 2285 Boulevard NE Ste 525Atlanta, GA 30312 · Phone (404) 265-1044

Other Identifiers 2

Medicaid103225762AGA
Medicaid103225762CGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Claudia Fotzeu Toukam Md, Mph 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 ID4082741947
PECOS Enrollment IDI20100423000739
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Claudia Fotzeu Toukam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
1800 HOWELL MILL RD NW STE 275
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 322 clinicians in this Medicare group
Surgery
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 111 clinicians in this Medicare group
Hospitalist
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 343 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Southern Regional Medical Center

Acute Care Hospitals · Riverdale, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110165
Location11 Upper Riverdale Road, SWRiverdale, GA 30274 · Clayton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30106 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.

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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%75 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
1790 MULKEY RD STE 5A
AUSTELL, GA 30106
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1790 MULKEY RD STE 5A
AUSTELL, GA 30106

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 Claudia Fotzeu Toukam's NPI number?

The NPI number for Claudia Fotzeu Toukam is 1962674143. It was assigned to this individual provider in the NPPES registry on March 28, 2008.

Where is Claudia Fotzeu Toukam located?

Claudia Fotzeu Toukam practices at 1790 Mulkey Rd Ste 5A, Austell, GA 30106. The listed phone number is (404) 265-1044.

What is Claudia Fotzeu Toukam's specialty?

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

Is Claudia Fotzeu Toukam enrolled in Medicare?

Yes. Claudia Fotzeu Toukam 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.

Which organizations bill Medicare for Claudia Fotzeu Toukam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claudia Fotzeu Toukam reassigns Medicare benefits to 3 organizations: Morehouse Healthcare, Inc. (Atlanta, GA), Southern Regional Physicians Management Group, LLC (Riverdale, GA) and 24 On Physicians, PC (Rome, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Claudia Fotzeu Toukam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Claudia Fotzeu Toukam accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Claudia Fotzeu Toukam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Claudia Fotzeu Toukam affiliated with any hospitals?

According to CMS data, Claudia Fotzeu Toukam is affiliated with Southern Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Claudia Fotzeu Toukam was last updated on October 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.