Active NPI
Dena Ferguson, M.D.
- Surgery Physician
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 35.141515
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.141515 | GA | MD | Surgery Physician |
| 3213 | NE | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North East Ohio Group Practice LLC | Current | 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.
-
- Internal Medicine Physician
- Middleburg Heights, OH
- NPI 1063575462
-
- Internal Medicine Physician
- Lyons, GA
- NPI 1952990533
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.