Active NPI
Gaston G Foderingham, MD
- Emergency Medicine Physician
- Fort Oglethorpe, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 052514
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00255604 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052514 | GA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| App of Tennessee Ed, PLLC | Emergency Medicine | Current | Accepting new patients |
| Tennessee River Physicians, PLLC | Emergency Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Bremen, GA
- NPI 1164458832
-
- Emergency Medicine Physician
- Hartwell, GA
- NPI 1962540849
-
- Emergency Medicine Physician
- Gadsden, AL
- NPI 1891031894
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1396282463
-
- Emergency Medicine Physician
- Dunlap, TN
- NPI 1699212761
-
dba JGH Therapy and SportsCare
- Physical Therapy Clinic/Center
- Ravenswood, WV
- NPI 1124369780
-
dba Jackson General Hospital
- Critical Access Hospital
- Ripley, WV
- NPI 1649277476
-
- Emergency Medicine Physician
- McMinnville, TN
- NPI 1982951034
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
- Emergency Medical Services (Emergency Medicine) Physician
- Blacksburg, VA
- NPI 1972545531
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Tanner Health System
- Critical Access Hospital
- Bremen, GA
- NPI 1194712083
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.