Individual provider Active NPI

Joleen Wiener Gorman, MD

  • Occupational Medicine Physician
  • Fort Payne, AL
National Provider Identifier
1245278100
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
00014962 Issued in AL
Practice address
907 Grand Avenue SW
Fort Payne, AL 35967
Phone
(256) 845-0428
Fax
(256) 845-0469
NPI assigned
Jun 3, 2006
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14962 AL
Occupational Medicine Physician 2083X0100X 00014962 AL Primary

Addresses

Primary practice location

907 Grand Avenue SW
Fort Payne, AL 35967

Mailing address

907 Grand Avenue SW
Fort Payne, AL 35967
Phone (256) 845-0428

Medicare participation

Medicare enrollment files
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090727000156 AL Practitioner - General SurgeryPractitioner - Family Practice 1658382957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Family Practice
Education
University of Nebraska College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1100 Dekalb Plaza Blvd SW
Fort Payne, AL 35967-4868
Phone (256) 845-0428

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14962ALMDFamily Medicine Physician
00014962ALMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gorman's Medical Services, LLC CurrentSince Nov 10, 2009 Accepting new patients

Locations

1100 DeKalb Plaza Blvd SW
Fort Payne, AL 35967
Phone (256) 845-0428

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1245278100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 GRAND AVENUE SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-845-0428",
            "fax_number": "256-845-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 GRAND AVENUE SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35967",
            "telephone_number": "256-845-0428",
            "fax_number": "256-845-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORMAN",
        "first_name": "JOLEEN",
        "middle_name": "WIENER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "14962",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AL",
            "license": "00014962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.