Frederick Letois Durden Jr., MD
Individual provider Active NPI Plastic Surgery Physician · Newnan, GA
NPI 1073799490 · NPPES record last updated Apr 27, 2026
Key facts
- NPI
- 1073799490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Plastic Surgery Physician 208200000X
- License
- 065539 (GA)
- Practice address
- 600 Celebrate Life Pkwy
Suite 350
Newnan, GA 30265-8001 - Phone
- (770) 400-7620
- NPI assigned
- Jan 16, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Plastic and Reconstructive Surgery
- Education
- Morehouse School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- City of Hope Medical Group of Georgia LLC
Practice addresses (Care Compare)
600 Celebrate Life Pkwy
Newnan, GA 30265-8001
Phone (770) 400-6080
Hospital & facility affiliations
- Southeastern Regional Medical Center, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.74 of 100
- Quality
- 63.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 57.71
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 11 |
| Melanoma (skin cancer) excision | 12 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151027002726 | GA | Practitioner - Plastic and Reconstructive Surgery |
7911172465 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 065539 | GA | MD | Plastic Surgery Physician |
| 35097442 | OH | MD | Plastic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Hope Medical Group of Georgia LLC | Current |
Accepting new patients |
Locations
600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334
600 Celebrate Life Pkwy
Ste 350
Newnan, GA 30265
Phone (770) 400-7620
62742 Collections Ctr Dr
Chicago, IL 60693
Interoperability endpoints
- fdurden145286@cityofhope.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 35097442 | OH | |
| Otolaryngology Physician | 207Y00000X | 000792 | GA | |
| Plastic Surgery Physician | 208200000X | 065539 | GA | Yes |
Addresses
Primary practice location
600 Celebrate Life Pkwy
Suite 350
Newnan, GA 30265-8001
Mailing address
600 Celebrate Life Pkwy
Suite 350
Newnan, GA 30265-8001
Phone (770) 400-7620
Other providers in Newnan, GA
- Ednita Duncan
- Emily Renee Duncan
- Lisa Baldwin Dunn
- Brandon Duong
- Vinh T Duong
- Jeffery Durham
- Rosette Duruh
- Paul L Duso
- Parul Dutta
- Winifred Dowdell Dye
All providers in Newnan, GA · Plastic Surgery Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.