Deborah Ware Fordham, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

002877 Issued in GA

Practice address

1826 Veterans Boulevard
Carl Vinson VA Medical Center
Dublin, GA 31021

Phone

(478) 272-1210

NPI assigned

Oct 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679654693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 60-1",
            "address_2": "1127 REBIE ROAD",
            "city": "CHESTER",
            "state": "GA",
            "postal_code": "310129538",
            "telephone_number": "478-358-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1826 VETERANS BOULEVARD",
            "address_2": "CARL VINSON VA MEDICAL CENTER",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "478-272-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDHAM",
        "first_name": "DEBORAH",
        "middle_name": "WARE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "002877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL  NCCPA NUMBER",
            "identifier": "1032004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C  NUMBER",
            "identifier": "002877",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Floyd, R.PH.
• Serena Fluker, LPC, CADC II
• Folsom Healthcare Inc
• Rosalind Ford, LPN
• William H. Ford Jr., RPH
• Jackson D Fordham, DMD
• Anita Foreman, RN
• Donna G Forth, RN
• Kalina Ann Foskey, RN
• Felicia Fountain, M.D.

• Medical Physician Assistant in Dublin, GA
• Providers in Dublin, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.