Individual provider Active NPI

Fatisha Gayton, MD

  • Emergency Medicine Physician
  • Fort Belvoir, VA
National Provider Identifier
1508979097
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
D68201 Issued in MD
Practice address
9501 Farrell Rd
Fort Belvoir, VA 22060-5901
Phone
(703) 805-0510
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 010124449 VA
Emergency Medicine Physician 207P00000X 054612 GA
Emergency Medicine Physician 207P00000X D68201 MD Primary

Addresses

Primary practice location

9501 Farrell Rd
Fort Belvoir, VA 22060-5901

Mailing address

1850 Potomac Greens Dr
Alexandria, VA 22314-6237
Phone (404) 840-6575

Other practice location 1

4101 Northview Dr
Bowie, MD 20716-2616
Phone (301) 552-8130

Other names 1

  • Dr. Fatisha Tawanha Enahora Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, VA, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040825000061 GA Practitioner - Emergency MedicinePractitioner - General Surgery 4183698152 Reassigns benefits to 6 organizations
I20090817000703 VA Practitioner - Emergency Medicine 4183698152 Reassigns benefits to 1 organization
I20090820000551 DC Practitioner - Emergency Medicine 4183698152 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: General Surgery
Education
Morehouse School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Bortolazzo Group, LLCGroup PAC ID 3476554320, 98 clinicians

Practice addresses (Care Compare)

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

Hospital & facility affiliations

  • Wellstar Paulding Medical Center Hospital, Hiram, GA, CCN 110042

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054612GAMDEmergency Medicine Physician
D68201MDMDEmergency Medicine Physician
010124449VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince Jun 15, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Oct 3, 2010 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Aug 14, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2009 Accepting new patients
Emergency Medicine Associates P.a., P.C. Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Center for Vein Restoration Ga Corp CurrentSince Oct 12, 2021 Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine CurrentSince Dec 1, 2023 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine Current Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince May 24, 2013 Accepting new patients
Center for Vein Restoration Ga Corp CurrentSince Oct 12, 2021 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Southland Emergency Medical Services Consolidated, LLC CurrentSince Jul 6, 2020 Accepting new patients
Doctors Community Practices LLC Past Accepting new patients
USA Vein Clinics of Chantilly LLC PastSince Jan 22, 2025 Accepting new patients
Summit Macon LLC Past Accepting new patients

Locations

3886 Princeton Lakes Way SW
Ste 140
Atlanta, GA 30331

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

145 E Peacock St
Cochran, GA 31014
Phone (229) 200-4950

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

110 S Main St
Hiawassee, GA 30546
Phone (706) 896-2222

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1100 Johnson Fy Rd NE
Ste 165
Sandy Springs, GA 30342
Phone (404) 446-2800

20010 Century Blvd
Ste 200
Germantown, MD 20874

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: fatisha.gaytonmd.p3@direct.cvr.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508979097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 POTOMAC GREENS DR",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223146237",
            "telephone_number": "404-840-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 FARRELL RD",
            "city": "FORT BELVOIR",
            "state": "VA",
            "postal_code": "220605901",
            "telephone_number": "703-805-0510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Northview Dr",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207162616",
            "country_code": "US",
            "telephone_number": "301-552-8130",
            "fax_number": "301-552-8135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAYTON",
        "first_name": "FATISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "010124449",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "054612",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D68201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATISHA",
            "last_name": "ENAHORA",
            "middle_name": "TAWANHA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Belvoir, VA

Sources for this page

Verify at the official NPI Registry.