Fernando A. Duralde, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

027370 Issued in GA

Practice address

1336 Highway 54 W
BLDG 200
Fayetteville, GA 30214-4535

Phone

(770) 716-9656

Fax

(770) 716-1609

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Georgia Urology PA

  • Urology Physician
  • Riverdale, GA
  • NPI 1245250646

  Urology

  NPD
• Georgia Urology PA

  • Urology Physician
  • Smyrna, GA
  • NPI 1245575638

  Urology

  NPD
• Georgia Urology, PA

  • Ambulatory Surgical Clinic/Center
  • Braselton, GA
  • NPI 1861222119
  NPD
• Urological Professional Services, LLC

  • Urology Physician
  • Atlanta, GA
  • NPI 1033521810

  Urology

  NPD
• City of Hope Medical Group of Georgia LLC

  • Internal Medicine Physician
  • Newnan, GA
  • NPI 1447520333
  NPD (past)

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1407856552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 HIGHWAY 54 W",
            "address_2": "BLDG 200",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144535",
            "telephone_number": "770-716-9656",
            "fax_number": "770-716-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURALDE",
        "first_name": "FERNANDO",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "027370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000439414E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frandee Dunmore, LPC
• Yolanda Dunn
• Michelle Lee Dupont, PA-C
• Connie Dupre, MD
• Durable Medical Supply, Inc.
• Maximo Antonio Duran Jr., FNP-C, CPNP-PC
• Dva Renal Healthcare Inc
• Kristie Yancy Dyson, MD
• E Medical Transportation Services LLC
• Eagle Acquisition I LLC

• Urology Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.