Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jerry Tee Todd, MD

Individual provider Anesthesiology Physician · NPI 1699041863

Dr. Jerry Tee Todd, MD is an Anesthesiology in Kennesaw, Georgia. Graduated from Medical College of Georgia School of Medicine in 2011, 15 years ago. Practices with Mak Anesthesia Holdings, LLC, a 368-clinician group. Licensed in Alabama and Georgia.

Years since qualifying
15
Trained at
Medical College of Georgia School of Medicine
Licensed in
AL, GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 Ridenour Blvd NW Ste 300
Kennesaw, GA 30152-4402
Phone: (770) 634-4215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 76501 (GA)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD.35302 (AL)

Record details

NPI number1699041863
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2012
Last updated in NPPESMarch 22, 2020
Certification dateMarch 22, 2020
Mailing address3999 Matty Dr Ne, Marietta, GA 30066-1113

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Mak Anesthesia Holdings, Llc — 368 clinicians
Accepts Medicare assignment Not indicated

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