Individual provider Active NPI

Dena Ferguson, M.D.

  • Surgery Physician
  • Vidalia, GA
National Provider Identifier
1619322799
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35.141515 Issued in GA
Practice address
1811 Edwina Dr
Vidalia, GA 30474-8963
Phone
(912) 538-9977
Fax
(912) 538-0770
NPI assigned
Apr 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.141515 GA Primary

Addresses

Primary practice location

1811 Edwina Dr
Vidalia, GA 30474-8963

Mailing address

1044 Belmont Ave
Youngstown, OH 44504-1006
Phone (330) 480-3583

Other names 1

  • Dena Ferguson Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20260316001264 OH Practitioner - General Surgery 5395148316 Reassigns benefits to 1 organization
I20260410003666 GA Practitioner - General Surgery 5395148316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North East Ohio Group Practice LLCGroup PAC ID 8426960618, 22 clinicians
Meadows Multispecialty Associates LLCGroup PAC ID 6002223484, 28 clinicians

Practice addresses (Care Compare)

11900 Fairhill Rd
Cleveland, OH 44120-1062
Phone (216) 983-8030

1811 Edwina Dr
Vidalia, GA 30474-8963
Phone (912) 583-9977

Hospital & facility affiliations

  • Memorial Health Meadows Hospital Hospital, Vidalia, GA, CCN 110128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.141515GAMDSurgery Physician
3213NEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC CurrentSince Feb 4, 2026 Accepting new patients

Locations

11900 Fairhill Rd
Cleveland, OH 44120
Phone (216) 231-2344

Organizations & group practices 2

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 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": "1461628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1619322799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041006",
            "telephone_number": "330-480-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 EDWINA DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748963",
            "telephone_number": "912-538-9977",
            "fax_number": "912-538-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-26",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "35.141515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "FERGUSON",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Vidalia, GA

Sources for this page

Verify at the official NPI Registry.