Foundation Medical Group LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

FOUNDATION MEDICAL GROUP LLC

Practice address

160 Clairemont Ave Ste 200
Decatur, GA 30030-2546

Phone

(706) 534-8574

NPI assigned

Dec 28, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Naomi Montanez

Title

Authorized Official/Office Manager

Phone

(804) 506-0526

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687651200000",
    "number": "1265029045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302546",
            "telephone_number": "804-506-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302546",
            "telephone_number": "706-534-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2023-06-25",
        "certification_date": "2023-06-25",
        "status": "A",
        "authorized_official_last_name": "MONTANEZ",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/OFFICE MANAGER",
        "authorized_official_telephone_number": "804-506-0526",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hallie Brianna Foster
• Lauren Foster, MS, CCC/SLP, CNHP
• Patrice M Foster, RN
• Sabrina Foster, MA, CCC-SLP
• Temitope Yewande Foster, MD
• Ryan Paul Fowler
• Dashia Courtney Fowlkes
• Allison Torbert Fox, PHARM.D.
• Carrie Nicole Fox
• Emily Suzanne Fox, CPNP-AC

• Interventional Pain Medicine Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Interventional Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.