Donald L Fordham, M.D.
Individual provider Active NPI Family Medicine Physician · Demorest, GA
NPI 1477537470 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1477537470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 044718 (GA)
- Practice address
- 865 Austin Dr
Demorest, GA 30535-4513 - Phone
- (706) 754-8811
- Fax
- (706) 754-8822
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Alabama School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
865 Austin Dr
Demorest, GA 30535-4513
Phone (706) 754-8811
Hospital & facility affiliations
- Tugaloo Home Health Agency, an Amedisys Company
- Enhabit Home Health
- Northeast Georgia Medical Center Habersham
- Northeast Georgia Medical Center, Inc
- Northside Hospital
- Northside Hospital Forsyth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 17 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal or shaving of skin growth | 14 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060707000325 | GA | Practitioner - Family Practice | 1658383831 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Habersham Family Medicine | Family Medicine | Current |
Accepting new patients |
| Covenant Emergency Physicians LLC | Past | Accepting new patients |
Locations
865 Austin Dr
Demorest, GA 30535
Phone (706) 754-8811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 044718 | GA | Yes |
Addresses
Primary practice location
865 Austin Dr
Demorest, GA 30535-4513
Mailing address
PO Box 308
Demorest, GA 30535-0308
Phone (706) 754-8811
Other providers in Demorest, GA
- Mark H. Ferdos
- Tracy A Ferguson
- Sloan Fletcher
- Jessica J Flow-Bagwell
- Marcella Edwards Ford
- Jeremy Fouts
- Fresenius Medical Care Kidney Healthcare, LLC
- Andrea J Fuller
- G-1 Healthcare LLC
- David Gregory Gaines II
All providers in Demorest, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.