Tonya Fowler Fordham, D.O.
NPI 1861462053ActiveIndividual· Family Medicine· Baxley, GA
Family Medicine (D.O.) in Baxley, Georgia, trained at West Virginia School of Osteopathic Medicine (class of 1994). Their prescriptions cost Medicare Part D more than their services did: $564,006 for 14,190 claims, against $72,611 paid for services in 2024.
Overview
| NPI | 1861462053 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | Yes |
| NPI issued | Jan 23, 2006 |
| Last updated in NPPES | Dec 21, 2021 |
| Certified by provider | Dec 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 049292 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 165 |
|---|---|
| Services billed | 1,706 across 59 procedure codes |
| Paid by Medicare | $72,611 |
Part D prescriptions in 2024
| Prescriptions (claims) | 14,190 · 16,714 30-day fills |
|---|---|
| Patients | 500 |
| Total drug cost | $564,006 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | West Virginia School of Osteopathic Medicine |
|---|---|
| Graduation year | 1994 |
| Medicare specialty | Family Practice |
| Secondary specialties | Emergency Medicine |
Medical groups
- Southland Consolidated Emergency Services LLCBaxley, GA · 69 clinicians
- Southland Emergency Medical Services Consolidated, LLCWaynesboro, GA · 49 clinicians
Hospital affiliations
- Appling HealthcareBaxley, GA
- Memorial Health Meadows HospitalVidalia, GA
Other facilities
- Appling Nursing and Rehabilitation PavilionNursing home · Baxley, GA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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