NPIMap

Individual provider Active NPI

Ian Furtado, M.D.

  • Family Medicine Physician
  • Alma, GA
National Provider Identifier
1912358755
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
83601 Issued in GA
Practice address
204 E 15TH St
Alma, GA 31510-2908
Phone
(912) 632-2952
Fax
(912) 632-8682
NPI assigned
Jun 22, 2016
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 83601 GA Primary

Addresses

Primary practice location

204 E 15TH St
Alma, GA 31510-2908

Mailing address

204 E 15TH St
Alma, GA 31510-2908
Phone (912) 632-2952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191210003554 GA Practitioner - Family Practice 1951699552 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sciometrix IncGroup PAC ID 9335511443, 46 clinicians

Practice addresses (Care Compare)

302 S Wayne St
Alma, GA 31510-2922

302 S Wayne St
Bacon Co Hospital
Alma, GA 31510-0987
Phone (912) 632-8961

3900 Crown Rd SW
Suite 16709
Atlanta, GA 30304-0001
Phone (860) 335-5064

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
83601GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Georgia Physicians Group, LLC CurrentSince Mar 1, 2023 Accepting new patients
South Georgia Physicians Group, LLC Family Medicine CurrentSince Mar 1, 2023 Accepting new patients
Sciometrix Inc CurrentSince Oct 15, 2025 Accepting new patients
Bacon County Health Services, Inc. CurrentSince Aug 26, 2019 Accepting new patients
Bacon County Health Services, Inc. CurrentSince Aug 26, 2019 Accepting new patients
Bacon County Health Services, Inc. Past Accepting new patients
Sciometrix LLC PastSince Oct 10, 2021 Accepting new patients
Bacon County Health Services, Inc Past Accepting new patients
Bacon County Health Services, Inc. Past Accepting new patients

Locations

204 E 15th St
Alma, GA 31510
Phone (912) 632-2952

301 S Baker St
Alma, GA 31510
Phone (912) 632-2952

302 S Wayne St
Alma, GA 31510
Phone (912) 632-8961

1205 Van Streat Hwy
Nicholls, GA 31554
Phone (912) 345-2474

1406 Habersham Dr
Waycross, GA 31501
Phone (912) 287-0333

407 W Oneida St
Waycross, GA 31501
Phone (912) 338-0065

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

Interoperability endpoints

  • Direct secure messaging: ian.furtado@bacon.gadirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 4

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1912358755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102908",
            "telephone_number": "912-632-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E 15TH ST",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102908",
            "telephone_number": "912-632-2952",
            "fax_number": "912-632-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURTADO",
        "first_name": "IAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "83601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alma, GA

Sources for this page

Verify at the official NPI Registry.