Individual provider Active NPI

Lavon Thurman, M.D.

  • Family Medicine Physician
  • Fortson, GA
National Provider Identifier
1093883878
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
019791 Issued in GA
Practice address
94 McCrary Rd
Fortson, GA 31808-4558
Phone
(706) 987-8216
Fax
(706) 987-8220
NPI assigned
Dec 1, 2006
Last updated
Jan 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 019791 GA Primary

Addresses

Primary practice location

94 McCrary Rd
Fortson, GA 31808-4558

Mailing address

1600 Fort Benning Rd
Columbus, GA 31903-2834
Phone (706) 322-9599

Other identifiers 1

IdentifierTypeStateIssuer
000225607IMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051130000568 GA Practitioner - Family Practice 9931143500 Reassigns benefits to 2 organizations
I20231114002093 AL Practitioner - Family Practice 9931143500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Enterprises PCGroup PAC ID 4486816048, 13 clinicians
Fort Mitchell Clinic PCGroup PAC ID 8325212640, 5 clinicians
Opelika Pediatrics and Family Clinic PCGroup PAC ID 5890006183, 6 clinicians

Practice addresses (Care Compare)

101 Enterprise CT
Columbus, GA 31904-9235
Phone (334) 664-0463

2 Gilmore Rd
Fort Mitchell, AL 36856-4442
Phone (334) 664-1960

3700 S Railroad St a
Phenix City, AL 36867-2994
Phone 33466404633327

5809 US Hwy 280 E
Opelika, AL 36804-8515
Phone (334) 664-0463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Opelika Pediatrics & Family Clinic PC CurrentSince Sep 4, 2023 Accepting new patients
Fort Mitchell Clinic PC Family Medicine CurrentSince Sep 3, 2023 Accepting new patients
Horizons Diagnostics, L.L.C. Past Accepting new patients

Locations

2 Gilmore Rd
Fort Mitchell, AL 36856
Phone (334) 664-0463

5809 US Highway 280 E
Opelika, AL 36804
Phone (334) 664-0463

1810 Stadium Dr
Ste 110
Phenix City, AL 36867
Phone (334) 291-4252

3700 S Railroad St
Ste A
Phenix City, AL 36867
Phone (334) 664-0463

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDBA
  • Direct secure messaging: lavon.thurman.p1@direct.veracity-benefits.nextgenshare.com
  • Direct secure messaging: lavon.thurman@554941067886596.direct.elationemr.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1093883878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 FORT BENNING RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032834",
            "telephone_number": "706-322-9599",
            "fax_number": "706-322-9567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MCCRARY RD",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318084558",
            "telephone_number": "706-987-8216",
            "fax_number": "706-987-8220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THURMAN",
        "first_name": "LAVON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "019791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000225607I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortson, GA

Sources for this page

Verify at the official NPI Registry.