Tonya Fowler Fordham, DO - Medicare Family Practice in Baxley, GA

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Tonya Fowler Fordham, DO is a medicare enrolled "Family Medicine" physician in Baxley, Georgia. She went to West Virginia School Of Osteopathic Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice South Georgia Er Services Llc and her current practice location is 18 Luckie St, Ste F, Baxley, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 366-1362.

Tonya Fowler Fordham is licensed to practice in Georgia (license number 049292) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861462053.

Contact Information

Tonya Fowler Fordham, DO
18 Luckie St, Ste F,
Baxley, GA 31513-0358
(912) 366-1362
(912) 366-1365

Map and Direction




Physician's Profile

Full NameTonya Fowler Fordham
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location18 Luckie St, Baxley, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tonya Fowler Fordham attended and graduated from West Virginia School Of Osteopathic Medicine in 1994
  NPI Data:
  • NPI Number: 1861462053
  • Provider Enumeration Date: 01/23/2006
  • Last Update Date: 12/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9335158369
  • Enrollment ID: I20060419000257

Medical Identifiers

Medical identifiers for Tonya Fowler Fordham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861462053NPI-NPPES
100442OtherBCBS
00947273AMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 049292 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home HealthVidalia, GAHome health agency
Appling HospitalBaxley, GAHospital

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tonya Fowler Fordham allows following entities to bill medicare on her behalf.
Entity NameThe Baxley And Appling County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518967116
PECOS PAC ID: 8426957325
Enrollment ID: O20040108000489
Entity NameErx Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760823082
PECOS PAC ID: 9335037571
Enrollment ID: O20130930000326
Entity NameSouthland Cochran Emergency Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205241395
PECOS PAC ID: 9638398027
Enrollment ID: O20140917001247
Entity NameSouthland Dodge Emergency Medical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851958607
PECOS PAC ID: 8224360805
Enrollment ID: O20191031001338
Entity NameSouthland Dodge Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346894334
PECOS PAC ID: 7113259664
Enrollment ID: O20191101001455
Entity NameSouth Georgia Er Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548763899
PECOS PAC ID: 6103285887
Enrollment ID: O20230629001113
Entity NameSouth Georgia Hospitalist Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265935522
PECOS PAC ID: 6305282567
Enrollment ID: O20240311000229

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tonya Fowler Fordham is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tonya Fowler Fordham, DO
18 Luckie St, Ste F,
Baxley, GA 31513-0358

Ph: (912) 366-1362		Tonya Fowler Fordham, DO
18 Luckie St, Ste F,
Baxley, GA 31513-0358

Ph: (912) 366-1362

Reviews and Comments


Family Medicine Doctors in Baxley, GA

Dr. Evelyn J Johnson, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 408 S Main St Ste C, Baxley, GA 31513
Phone: 912-705-1227    Fax: 912-705-0673
Dr. Leonard F Howard, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 301 E Tollison St, Baxley, GA 31513
Phone: 912-367-9841    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.