CARMEN SULTON MD
NPI 1265617567
Pediatrics in Atlanta, GA
NPI Status: Active since January 04, 2008
Contact Information
1405 CLIFTON RD NE
ATLANTA, GA
ZIP 30322
Phone: (404) 785-7141
Fax: (404) 785-7989
- Individual
- Female
- Pediatrics
- PECOS Enrolled
About CARMEN SULTON
This page provides the complete NPI Profile along with additional information for Carmen Sulton, a pediatrician established in Atlanta, Georgia with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1265617567 assigned on January 2008. The practitioner's primary taxonomy code is 208000000X with license number 61002 (GA). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1265617567
- Provider Name
- CARMEN SULTON MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1405 CLIFTON RD NE ATLANTA, GA 30322
- Location Phone
- (404) 785-7141
- Location Fax
- (404) 785-7989
- Mailing Address
- 1405 CLIFTON RD NE ATLANTA, GA 30322
- Mailing Phone
- (404) 785-7141
- Mailing Fax
- (404) 785-7989
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-04-2008
- Last Update Date
- 06-06-2022
- Code Navigator
A pediatrician like Carmen Sulton is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 61002
- License State
- GA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Medicare Participation & PECOS Enrollment Status
Carmen Sulton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 30322 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.06
- Minimum New Patient Price $56.84
- Maximum New Patient Price $172.43
- Average New Patient Copayment $22.01
- Minimum New Patient Copayment $14.21
- Maximum New Patient Copayment $43.1
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.2
- Minimum Established Patient Price $18.22
- Maximum Established Patient Price $140.4
- Average Established Patient Copayment $25.05
- Minimum Established Patient Copayment $4.55
- Maximum Established Patient Copayment $35.1
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 6 | 1 | 7 | 5 | 6 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 12 | 1 | 14 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 2 + 1 + 1 + 4 + 5 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1265617567 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1992768915 | MISS BRENDA DENESE MIDDLEBROOKS CPNP Individual | Nurse Practitioner (Pediatrics) | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-6059 |
| 1306800461 | DR. GARY E. FREED D.O. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-1801 |
| 1689639122 | DAVID D LLOYD MD Individual | Specialist | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-6104 |
| 1649238015 | ARTHUR T ALLEN III MD Individual | Anesthesiology | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 325-6671 |
| 1588622807 | ALCUIN Q JOHNSON PHD Individual | Psychologist | 1405 CLIFTON RD NE 3RD FL ATLANTA, GA 30322 (404) 785-0908 |
| 1295793560 | CASSANDRA D. JOSEPHSON M.D. Individual | Pathology (Blood Banking & Transfusion Medicine) | 1405 CLIFTON RD NE DEPT. OF PATHOLOGY ATLANTA, GA 30322 (404) 785-6499 |
| 1407804735 | CLAUDIA Y VENABLE MD Individual | Anesthesiology | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-6670 |
| 1811946551 | ANGEL R CUADRADO MD Individual | Pediatrics (Pediatric Cardiology) | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 256-2593 |
| 1053361618 | PATRICIA M LANTIS MD Individual | Hospitalist | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-6104 |
| 1851343743 | BERRY LAWRENCE PETERSON CPNP Individual | Nurse Practitioner (Pediatrics) | 1405 CLIFTON RD NE SECOND FLOOR CSW ATLANTA, GA 30322 (404) 785-1587 |
| 1740234442 | PATRICIA ROY RN Individual | Anesthesiology | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-6670 |
| 1184679367 | CHARLES A MURPHY MD Individual | Emergency Medicine | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-7142 |
| 1144276478 | MIRIAM GOLDSTEIN PATTERSON MD Individual | Pediatrics | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-7142 |
| 1639101132 | HEATHER LUDI PAAA Individual | Anesthesiologist Assistant | 1405 CLIFTON RD NE ANESTHESIOLOGY 2ND FLOOR ATLANTA, GA 30322 (404) 778-4852 |
| 1093749079 | JANICE L MEEKINS MD Individual | Hospitalist | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-1801 |
| 1568480911 | KARLENE COLEMAN CGC Individual | Registered Nurse | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-6641 |
| 1679597132 | DR. LAURA ELLEN PATRICK M.D. Individual | Radiology (Pediatric Radiology) | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-6549 |
| 1689684052 | ANNA JACKSON PAA Individual | Anesthesiologist Assistant | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-6670 |
| 1376642314 | TRACY ANN MERRILL M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-7485 |
| 1538258397 | ROCHELLE LYNNE SCHMIDT PHARM.D. Individual | Pharmacist | 1405 CLIFTON RD NE ATLANTA, GA 30322 (404) 785-1414 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265617567, enumerated in the NPI registry as an "individual" on January 04, 2008
The provider is located at 1405 Clifton Rd Ne Atlanta, Ga 30322 and the phone number is (404) 785-7141
The provider's speciality is Pediatrics with taxonomy code 208000000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $88.06 with an average copayment of $22.01 for new patient appointments. Established patients should expect a typical charge of $100.2 and an average copayment of 25.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 04, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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