Active NPI
Evander Fletcher Fogle, M.D.
- Orthopaedic Surgery Physician
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 047747
- Practice address
- 5671 Peachtree Dunwoody Rd NE
Suite 900
Atlanta, GA 30342-5000 - Phone
- (404) 847-9999
- Fax
- (404) 531-8466
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 047747 | GA | Primary |
Addresses
Primary practice location
5671 Peachtree Dunwoody Rd NE
Suite 900
Atlanta, GA 30342-5000
Mailing address
5671 Peachtree Dunwoody Rd NE
Suite 900
Atlanta, GA 30342-5000
Phone (404) 847-9999
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 848200493A | Medicaid | GA | |
| 848200493B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Vanderbilt University School of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physiotherapy Associates Inc
Practice addresses (Care Compare)
1285 Hembree Rd
200A
Roswell, GA 30076-4995
Phone (770) 475-2710
1995 N Park PL SE
Suite 410
Atlanta, GA 30339-2072
Phone (770) 850-0390
270 Chastain NWRD
Kennesaw, GA 30144-3012
Phone (770) 421-8005
2712 N Decatur Rd
Decatur, GA 30033-5910
Phone (770) 491-3003
400 Dawson Commons Cir
Suite 430
Dawsonville, GA 30534-6269
Phone (706) 265-8790
5513 Chamblee Dunwoody Rd
Suite 430
Dunwoody, GA 30338-4106
Phone (770) 551-9633
5671 Peachtree Dunwoody Rd
Suite 900
Atlanta, GA 30342-5022
5671 Peachtree Dunwoody Rd NE
Suite 900 950
Atlanta, GA 30342-5022
Phone (404) 847-9999
758 Old Norcross Rd
Suite 100
Lawrenceville, GA 30046-3385
Phone (770) 962-4300
Hospital & facility affiliations
- Saint Joseph'S Hospital of Atlanta, Inc
- Northside Hospital
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 14 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 25 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047747 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resurgens, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Resurgens, LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2550 Windy Hill Rd SE
Ste 317
Marietta, GA 30067
Phone (770) 933-1900
5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590
5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732
Interoperability endpoints
- evander.fogle.1@15749.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Atlanta, GA
- NPI 1386697928
-
- Orthopaedic Surgery Physician
- Braselton, GA
- NPI 1033919790
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Marietta, GA
- NPI 1700853041
Long-term care hospital
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1679664395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1316938244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000",
"telephone_number": "404-847-9999",
"fax_number": "404-531-8466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5671 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303425000",
"telephone_number": "404-847-9999",
"fax_number": "404-531-8466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOGLE",
"first_name": "EVANDER",
"middle_name": "FLETCHER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "047747",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "848200493A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "848200493B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; 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.