Individual provider Active NPI

Mathieu Forgues, M.D

  • Otolaryngology Physician
  • Roswell, GA
National Provider Identifier
1508284209
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
96793 Issued in GA
Practice address
1250 Upper Hembree Rd Ste E
Roswell, GA 30076-4651
Phone
(770) 410-0202
Fax
(770) 410-0995
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X E12339 AR
Otolaryngology Physician 207Y00000X 96793 GA Primary

Addresses

Primary practice location

1250 Upper Hembree Rd Ste E
Roswell, GA 30076-4651

Mailing address

1250 Upper Hembree Rd Ste E
Roswell, GA 30076-4651
Phone (770) 410-0202

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
I20231115003542 GA Practitioner - Otolaryngology 0042643652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of North Carolina at Chapel Hill School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Alpharetta ENT Specialists LLCGroup PAC ID 0941651848, 4 clinicians

Practice addresses (Care Compare)

1250 Upper Hembree Rd
Suite E
Roswell, GA 30076-4651
Phone (770) 410-0202

Hospital & facility affiliations

  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Northside Hospital Forsyth Hospital, Cumming, GA, CCN 110005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E12339ARMDOtolaryngology Physician
96793GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpharetta ENT Specialists LLC Otolaryngology CurrentSince Nov 1, 2023 Accepting new patients

Locations

3400 Old Milton Pkwy
Ste 575
Alpharetta, GA 30005
Phone (770) 410-0202

3400 Old Milton Pkwy
Ste C575
Alpharetta, GA 30005
Phone (770) 410-0202

1250 Upper Hembree Rd
Ste E
Roswell, GA 30076
Phone (770) 410-0202

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDIACD

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1508284209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 UPPER HEMBREE RD STE E",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764651",
            "telephone_number": "770-410-0202",
            "fax_number": "770-410-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 UPPER HEMBREE RD STE E",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764651",
            "telephone_number": "770-410-0202",
            "fax_number": "770-410-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORGUES",
        "first_name": "MATHIEU",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "E12339",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "96793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.