Mark Routon Fortson, MD | |
2200 Hamilton Rd Ste B, Columbus, GA 31904-8856 | |
(706) 655-8800 | |
(706) 940-9767 |
Full Name | Mark Routon Fortson |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 2200 Hamilton Rd Ste B, Columbus, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457452591 | NPI | - | NPPES |
000274612 | Medicaid | GA | |
10BDHLT | Other | GA | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 24937 (Georgia) | Secondary |
207RG0100X | Internal Medicine - Gastroenterology | 024937 (Georgia) | Primary |
Entity Name | St Francis Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326749417 PECOS PAC ID: 8729381033 Enrollment ID: O20160120002073 |
Entity Name | Southeastern Gastroenterology Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467196139 PECOS PAC ID: 5597149682 Enrollment ID: O20220909000291 |
Entity Name | Southeastern Endoscopy Center Llc |
---|---|
Entity Type | Part B Supplier - Ambulatory Surgical Center |
Entity Identifiers | NPI Number: 1932819554 PECOS PAC ID: 4486026572 Enrollment ID: O20230220000724 |
Mailing Address | Practice Location Address |
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Mark Routon Fortson, MD 2200 Hamilton Rd Ste B, Columbus, GA 31904-8856 Ph: (706) 655-8800 | Mark Routon Fortson, MD 2200 Hamilton Rd Ste B, Columbus, GA 31904-8856 Ph: (706) 655-8800 |
Andrew Norbert Vernon, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2122 Manchester Expy, Columbus, GA 31904 Phone: 706-320-2773 Fax: 706-596-4226 | |
Dr. Christopher Morgan Lee, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 700 Center St, Suite 204, Columbus, GA 31901 Phone: 706-596-1314 Fax: 706-596-9225 | |
Dr. James Lacey Smith, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1207 Marina Cove Dr, Columbus, GA 31904 Phone: 901-412-1881 | |
Srividya Srinivasamaharaj, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 1831 5th Ave, Columbus, GA 31904 Phone: 706-320-8780 Fax: 706-320-8721 | |
Dr. Mylena E Morton, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 710 Center St, Columbus, GA 31901 Phone: 706-571-1262 Fax: 706-660-6512 | |
Da Monica Alethea Cannon, NP Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2737 Warm Springs Rd Ste C, Columbus, GA 31904 Phone: 706-571-1136 | |
Dr. Gregory Michael Rucker, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 700 Center St, Suite 204, Columbus, GA 31901 Phone: 706-596-1314 Fax: 706-596-9225 |