Active NPI
Gerald Camden Furby III, DO
- Family Medicine Physician
- Mount Morris, PA
National Provider Identifier
1457094948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35758
- Practice address
- 120 Locust Ave Ext
Mount Morris, PA 15349-1355 - Phone
- (724) 324-9001
- Fax
- (724) 324-9005
- NPI assigned
- Apr 14, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35758 | MS | Primary |
| Family Medicine Physician | 207Q00000X | 06404 | KY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | PA |
Addresses
Primary practice location
120 Locust Ave Ext
Mount Morris, PA 15349-1355
Mailing address
120 Locust Ave Ext
Mount Morris, PA 15349-1355
Phone (724) 324-9001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- 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
- Family Practice
- Education
- West Virginia School of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
830 S Gloster St
Tupelo, MS 38801-4934
Phone (662) 377-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35758 | MS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relias Emergency Medicine Specialists of Tupelo LLC | Current | Accepting new patients |
Locations
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- gerald.furbyiii.p12@direct.cornerstonecare.nextgenshare.com
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.
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1841664661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1457094948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 LOCUST AVE EXT",
"city": "MOUNT MORRIS",
"state": "PA",
"postal_code": "153491355",
"telephone_number": "724-324-9001",
"fax_number": "724-324-9005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 LOCUST AVE EXT",
"city": "MOUNT MORRIS",
"state": "PA",
"postal_code": "153491355",
"telephone_number": "724-324-9001",
"fax_number": "724-324-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FURBY",
"first_name": "GERALD",
"middle_name": "CAMDEN",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-14",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "35758",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "06404",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Morris, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; 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.