Fred Joseph Duhon, MD
Individual provider Active NPI Family Medicine Physician · Lafayette, GA
NPI 1194783845 · NPPES record last updated Aug 2, 2012
Key facts
- NPI
- 1194783845
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 013610 (GA)
- Practice address
- 1110 N Main St
Lafayette, GA 30728 - Phone
- (706) 638-2002
- Fax
- (706) 638-2014
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|---|
| I20081104000244 | GA | Practitioner - Family Practice | 7416016571 | Practice locations: Lafayette, GA |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD010885 | LA | MD | Family Medicine Physician |
| MD0000036647 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Partners Foundation Inc | Family Medicine | Past | Accepting new patients |
| Memorial Health Partners Foundation, Inc | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 013610 | GA | Yes |
| Family Medicine Physician | 207Q00000X | MD010885 | LA | |
| Family Medicine Physician | 207Q00000X | MD0000036647 | TN |
Addresses
Primary practice location
1110 N Main St
Lafayette, GA 30728
Mailing address
1110 N Main St
Lafayette, GA 30728
Phone (706) 638-2002
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00442659A | Medicaid | GA |
Other providers in Lafayette, GA
- Vicki Michal Allmond
- Max Russell Baldwin Jr.
- Sue Copelan
- Cynthia Dianne Day
- Alice Sue Dial
- Carolyn Lott Florence
- Thomas L Garcia
- Carol M Gobbel
- Jennifer Carter
- K -VA -T Food Stores Inc
All providers in Lafayette, GA · Family Medicine 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 Aug 2, 2012. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.