Dr James M Toth, M D - Medicare Family Practice in Buford, GA

Dr James M Toth, M D is a medicare enrolled "Family Medicine" physician in Buford, Georgia. He went to University Of Toledo College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 1435 Broadmoor Blvd, Kaiser Permanente Sugar Hill/buford Medical Center, Buford, Georgia. You can reach out to his office (for appointments etc.) via phone at (678) 765-5735.

Dr James M Toth is licensed to practice in Georgia (license number 044126) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700890357.

Contact Information

Dr James M Toth, M D
1435 Broadmoor Blvd, Kaiser Permanente Sugar Hill/buford Medical Center,
Buford, GA 30518-5408
(678) 765-5735
Not Available

Map and Direction




Physician's Profile

Full NameDr James M Toth
GenderMale
SpecialityFamily Practice
Experience28 Years
Location1435 Broadmoor Blvd, Buford, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James M Toth attended and graduated from University Of Toledo College Of Medicine in 1996
  NPI Data:
  • NPI Number: 1700890357
  • Provider Enumeration Date: 07/28/2006
  • Last Update Date: 01/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3173567955
  • Enrollment ID: I20060328000261

Medical Identifiers

Medical identifiers for Dr James M Toth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700890357NPI-NPPES
044126OtherGAGA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 044126 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Southeast Permanente Medical Group6204829013660

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James M Toth allows following entities to bill medicare on his behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James M Toth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James M Toth, M D
3495 Piedmont Rd Ne, Nine Piedmonet Center,
Atlanta, GA 30305-1717

Ph: (404) 364-7070
Dr James M Toth, M D
1435 Broadmoor Blvd, Kaiser Permanente Sugar Hill/buford Medical Center,
Buford, GA 30518-5408

Ph: (678) 765-5735

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.