Active NPI
Forrest J Doud, MD
- Pediatrics Physician
- Social Circle, GA
National Provider Identifier
1639127392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 024931
- Practice address
- 761 N Cherokee Rd
Ste B
Social Circle, GA 30025-4019 - Phone
- (678) 535-3030
- Fax
- (770) 464-9051
- NPI assigned
- May 5, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 024931 | GA | Primary |
Addresses
Primary practice location
761 N Cherokee Rd
Ste B
Social Circle, GA 30025-4019
Mailing address
761 N Cherokee Rd
Ste B
Social Circle, GA 30025-4019
Phone (678) 535-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000265944E | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024931 | GA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forrest J Doud, MD, PC | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Social Circle, GA
- NPI 1922296847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1639127392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "761 N CHEROKEE RD",
"address_2": "STE B",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300254019",
"telephone_number": "678-535-3030",
"fax_number": "770-464-9051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "761 N CHEROKEE RD",
"address_2": "STE B",
"city": "SOCIAL CIRCLE",
"state": "GA",
"postal_code": "300254019",
"telephone_number": "678-535-3030",
"fax_number": "770-464-9051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUD",
"first_name": "FORREST",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "024931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000265944E",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Social Circle, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.