Dakotah Rose Forell

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

2904 Issued in AL

Practice address

667 Church St NE
Marietta, GA 30060-1101

Phone

(770) 793-5000

NPI assigned

Apr 8, 2019

Sex

Female

Sole proprietor

No

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.

• Decatur Morgan Emergency Medicine

  • Emergency Medicine Physician
  • Decatur, AL
  • NPI 1316571615
  Medicare reassignment Care Compare group NPD AL, Emergency Medicine
• Immh Scottsboro LLC

  • Emergency Medicine Physician
  • Scottsboro, AL
  • NPI 1558762393
  Medicare reassignment Care Compare group NPD AL, Emergency Medicine
• Island Medical Alabama LLC

  • Emergency Medicine Physician
  • Cullman, AL
  • NPI 1104097666
  Medicare reassignment Care Compare group NPD AL, Emergency Medicine
• Crestwood HB Medical Services LLC

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1548940497
  Medicare reassignment NPD AL, Emergency Medicine
• Emergency Services of Mobile PC

  • Emergency Medicine Physician
  • Mobile, AL
  • NPI 1013269802
  Medicare reassignment NPD AL, Emergency Medicine
• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  Medicare reassignment NPD AL, Emergency Medicine
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  Medicare reassignment NPD AL, Emergency Medicine
• HH Crestwood ER Physicians Group

  • Emergency Medicine Physician
  • Huntsville, AL
  • NPI 1811842826
  Medicare reassignment AL

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

• H H Health System-Morgan LLC

  • General Acute Care Hospital
  • Decatur, AL
  • NPI 1356692297
  Care Compare affiliation Hospital
• RCHP - Florence LLC

  • General Acute Care Hospital
  • Florence, AL
  • NPI 1477874337
  Care Compare affiliation Hospital

Specialty

Emergency Medicine

Education

Edward Via Col of Osteo Medicine-Carolinas Campus, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Decatur Morgan Emergency Medicine 24 clinicians

Island Medical Alabama LLC 24 clinicians

Immh Scottsboro LLC 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085
• North Alabama Medical Center Hospital, Florence, AL, CCN 010006

Medicare fee-for-service enrollment

Enrolled in AL

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 2, 2024.

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1235692146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "770-793-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORELL",
        "first_name": "DAKOTAH",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "2904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert A Forbes Jr., MD
• Debra M Ford, RN
• Elisabeth Ford
• Megan Ford, PT
• Delphine Fordham, RBT
• Joseph Forese, DC
• Forever Active Medical, L.L.C.
• Forman Lab & Screening Services
• Jodi Ellen Forman, LCSW
• Symphony Deseray Forman

• All providers in Marietta, GA
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.

Verify at the official NPI Registry.