Individual provider Active NPI

Carmen Frances Fong, MD

  • Colon & Rectal Surgery Physician
  • Sandy Springs, GA
National Provider Identifier
1417290768
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
94169 Issued in GA
Practice address
6105 Peachtree Dunwoody Rd Ste C245
Sandy Springs, GA 30328-5911
Phone
(770) 442-3117
Fax
(678) 701-1722
NPI assigned
Apr 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 293158 NY
Colon & Rectal Surgery Physician 208C00000X 94169 GA Primary

Addresses

Primary practice location

6105 Peachtree Dunwoody Rd Ste C245
Sandy Springs, GA 30328-5911

Mailing address

2500 Hospital Blvd Ste 150
Roswell, GA 30076-4976
Phone (770) 442-3117

Other practice location 1

600 Professional Dr Ste 130
Lawrenceville, GA 30046-7638
Phone (770) 442-3117

Other practice location 2

2500 Hospital Blvd Ste 150
Roswell, GA 30076-4976
Phone (770) 442-3117

Other practice location 3

4298 Atlanta Road SE
Suite 320
Smyrna, GA 30080-3007
Phone (770) 442-3117

Other practice location 4

1505 Northside Blvd Ste 3400
Cumming, GA 30041-8223
Phone (770) 442-3117

Other practice location 5

2784 N Decatur Rd Ste 150
Decatur, GA 30033-5993
Phone (770) 442-3117

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230330000625 GA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2466783378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
Michigan State University College of Human Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Fulton General Surgery, PCGroup PAC ID 9234111360, 2 clinicians

Practice addresses (Care Compare)

755 Mount Vernon Hwy NE
Suite 120
Atlanta, GA 30328-4276
Phone (770) 442-3117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Fulton General Surgery, PC CurrentSince Apr 1, 2023 Accepting new patients

Locations

1505 Northside Blvd
Ste 3400
Cumming, GA 30041
Phone (770) 442-3117

2784 N Decatur Rd
Ste 150
Decatur, GA 30033
Phone (404) 298-6050

600 Professional Dr
Ste 130
Lawrenceville, GA 30046
Phone (678) 225-5678

2500 Hospital Blvd
Ste 150
Roswell, GA 30076
Phone (770) 442-3117

755 Mount Vernon Hwy NE
Ste 120
Sandy Springs, GA 30328
Phone (404) 851-0029

6105 Peachtree Dunwoody Rd
Ste C245
Sandy Springs, GA 30328
Phone (770) 394-0007

5730 Glenridge Dr
Ste 400
Sandy Springs, GA 30328
Phone (404) 252-3074

5445 Meridian Mark Rd
Ste 100
Sandy Springs, GA 30342
Phone (404) 459-1818

4298 Atlanta Rd SE
Ste 320
Smyrna, GA 30080
Phone (470) 242-0717

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1417290768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764976",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6105 PEACHTREE DUNWOODY RD STE C245",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285911",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Professional Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467638",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Hospital Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300764976",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4298 Atlanta Road SE",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300803007",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 Northside Blvd Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300418223",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2784 N Decatur Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300335993",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "CARMEN",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NY",
            "license": "293158",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "94169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

Verify at the official NPI Registry.