Active NPI
Mark Routon Fortson, M.D.
- Gastroenterology Physician
- Columbus, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 024937
- Practice address
- 2200 Hamilton Rd Ste B
Columbus, GA 31904-8856 - Phone
- (706) 655-8800
- Fax
- (706) 940-9767
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 22, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 24937 | GA | |
| Gastroenterology Physician | 207RG0100X | 024937 | GA | Primary |
Addresses
Primary practice location
2200 Hamilton Rd Ste B
Columbus, GA 31904-8856
Mailing address
2200 Hamilton Rd Ste B
Columbus, GA 31904-8856
Phone (706) 655-8800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000274612 | Medicaid | GA | |
| 10BDHLT | Other | GA | MEDICARE PTAN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024937 | GA | MD | Gastroenterology Physician |
| 24937 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Physician Practices LLC | Current | Accepting new patients | |
| St Francis Physician Practices LLC | Current | Accepting new patients | |
| Southeastern Anesthesia Group LLC | Current | Accepting new patients | |
| Southeastern Gastroenterology Associates, PC | Gastroenterology | Current | Accepting new patients |
| St. Francis Physician Practices LLC | Gastroenterology | Current | Accepting new patients |
| Southeastern Endoscopy Center LLC | Current | Accepting new patients |
Locations
1905 7th Ave
Ste C
Columbus, GA 31901
Phone (703) 323-8954
2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128
2200 Hamilton Rd
Ste A
Columbus, GA 31904
Phone (706) 221-6116
2200 Hamilton Rd
Ste B
Columbus, GA 31904
Phone (706) 221-6116
2300 Manchester Expy
Ste A201
Columbus, GA 31904
Phone (706) 243-4550
610 19th St
Columbus, GA 31901
Phone (706) 322-7884
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EHDHCD
- mark.fortson@sfhga.gadirect.net
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Columbus, GA
- NPI 1932819554
-
dba St. Francis Primary Care
- Family Medicine Physician
- Columbus, GA
- NPI 1326749417
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1407628456
-
- Gastroenterology Physician
- Columbus, GA
- NPI 1467196139
-
dba St. Francis Neurology
- Neurology Physician
- Columbus, GA
- NPI 1407221849
-
- Gastroenterology Physician
- Columbus, GA
- NPI 1609655646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1457452591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 HAMILTON RD STE B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048856",
"telephone_number": "706-655-8800",
"fax_number": "706-940-9767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 HAMILTON RD STE B",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319048856",
"telephone_number": "706-655-8800",
"fax_number": "706-940-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTSON",
"first_name": "MARK",
"middle_name": "ROUTON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "24937",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "024937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000274612",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "10BDHLT",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.