Individual provider Active NPI

Gaston G Foderingham, MD

  • Emergency Medicine Physician
  • Fort Oglethorpe, GA
National Provider Identifier
1033148226
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
052514 Issued in GA
Practice address
100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643
Phone
(706) 858-2000
Fax
(865) 291-3228
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 052514 GA Primary

Addresses

Primary practice location

100 Gross Crescent Cir
Fort Oglethorpe, GA 30742-3643

Mailing address

PO Box 636019
Cincinnati, OH 45263-6019

Other identifiers 1

IdentifierTypeStateIssuer
P00255604OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TN, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040519000117 GA Practitioner - Emergency Medicine 9739170846 Reassigns benefits to 2 organizations
I20081223000618 TN Practitioner - Emergency MedicinePractitioner - Internal Medicine 9739170846 Reassigns benefits to 3 organizations
I20160321000752 AL Practitioner - Emergency Medicine 9739170846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence Emergency Physicians LLCGroup PAC ID 2264484971, 10 clinicians

Practice addresses (Care Compare)

200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone (770) 537-5851

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
052514GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Emergency Physician Partners, LLC Emergency Medicine Current Accepting new patients
Hartwell Emergency Physicians LLC Emergency Medicine Current Accepting new patients
Independence Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Sep 19, 2017 Accepting new patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Jul 15, 2017 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Sep 19, 2017 Accepting new patients
St. Luke'S Princeton LLC Past Accepting new patients
Epmg of Virginia P C Past Accepting new patients
Community Health Association Past Accepting new patients
Community Health Association Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Cumberland Caverns Emergency Physicians LLC Emergency Medicine Past Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

100 Gross Crescent Cir
Ft Oglethorpe, GA 30742
Phone (706) 858-2301

138 W Gibson St
Hartwell, GA 30643
Phone (702) 223-3333

975 E 3rd St
Chattanooga, TN 37403
Phone (423) 266-1499

16931 Rankin Ave
Dunlap, TN 37327
Phone (423) 949-5100

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544

401 Sewell Dr
Sparta, TN 38583
Phone (931) 738-2164

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1033148226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636019",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GROSS CRESCENT CIR",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423643",
            "telephone_number": "706-858-2000",
            "fax_number": "865-291-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODERINGHAM",
        "first_name": "GASTON",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "052514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00255604",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

Verify at the official NPI Registry.