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

Tracey Marie Tuttle, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1497234280

Tracey Marie Tuttle, AGACNP is a Nurse Practitioner in Lawrenceville, Georgia. Qualified in 2018, 8 years ago. Practices with Northside Cv Professional Services LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2018

Practice location Address checks out

2200 Medical Center Blvd Ste 400
Lawrenceville, GA 30046-7769
Phone: (770) 962-0399
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence APRN-NP160375 (GA)

Record details

NPI number1497234280
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESDecember 27, 2025
Certification dateDecember 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northside Cv Professional Services Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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