Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AUDREY FONKAM MD
NPI 1003378746
Internal Medicine in Newnan, GA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
745 POPLAR RD, NEWNAN, GA 30265(770) 400-2353 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 8, 2026, Aug 3, 2022, Apr 2, 2019 (3 updates tracked since 2019).

About Audrey Fonkam Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUDREY FONKAM MD (NPI 1003378746) is an individual internal medicine provider in Newnan, Georgia, licensed in Georgia (97396) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1003378746
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameAUDREY FONKAMCredential: MD
Location Address745 POPLAR RDNewnan, GA 30265-1618
Mailing Address301 Saint Paul StBaltimore, MD 21202-2102
Sole ProprietorNo
Medical School CMSMorehouse School Of MedicineGraduated 2019
Enumeration DateApril 2, 2019
Last NPPES UpdateOctober 8, 20263 updates tracked since enumeration
NPPES CertifiedOctober 8, 2026
✔ NPI 1003378746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in GA · 97396✔ Licensed in MD · D95110
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
745 POPLAR RD, Newnan, GA 30265

Secondary Practice Location 1

Location 1301 Saint Paul StBaltimore, MD 21202-2102 · Phone (410) 332-9808

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Audrey Fonkam Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406181494
PECOS Enrollment IDI20241021000252
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Audrey Fonkam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
3228 COLD SPRINGS RD
Huntingdon, PA 16652
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Wayne Memorial Hospital

Acute Care Hospitals · Honesdale, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390125
Location601 Park StreetHonesdale, PA 18431 · Wayne County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
745 POPLAR RD
NEWNAN, GA 30265
Nurse Anesthetist, Certified Registered
745 POPLAR RD
NEWNAN, GA 30265
Nurse Practitioner
745 POPLAR RD
NEWNAN, GA 30265
Pathology (Anatomic Pathology & Clinical Pathology)
745 POPLAR RD
NEWNAN, GA 30265
Hospitalist
745 POPLAR RD
NEWNAN, GA 30265
Physician Assistant (Medical)
745 POPLAR RD
NEWNAN, GA 30265
Radiology (Radiation Oncology)
745 POPLAR RD
NEWNAN, GA 30265
Nurse Practitioner (Family)
745 POPLAR RD
NEWNAN, GA 30265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Audrey Fonkam's NPI number?

The NPI number for Audrey Fonkam is 1003378746. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Audrey Fonkam located?

Audrey Fonkam practices at 745 Poplar Rd, Newnan, GA 30265. The listed phone number is (770) 400-2353.

What is Audrey Fonkam's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Audrey Fonkam enrolled in Medicare?

Yes. Audrey Fonkam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Audrey Fonkam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Audrey Fonkam reassigns Medicare benefits to Geisinger Clinic (Huntingdon, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Audrey Fonkam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Audrey Fonkam accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Audrey Fonkam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Audrey Fonkam affiliated with any hospitals?

According to CMS data, Audrey Fonkam is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center, Wayne Memorial Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Audrey Fonkam was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.