EDWIN J FORTENBERY MD
NPI 1073596789
Radiology - Nuclear Radiology in Albany, GA

Q: What is Edwin Fortenbery's NPI number?

The NPI number for Edwin Fortenbery is 1073596789. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Q: What is Edwin Fortenbery's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Nuclear Radiology, with taxonomy code 2085N0904X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Fortenbery was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since November 28, 2005PECOS Enrolled

417 W 3RD AVE, ALBANY, GA 31701(706) 653-1088(706) 653-1162 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Edwin J Fortenbery Md NPPES

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

EDWIN J FORTENBERY MD (NPI 1073596789) is an individual nuclear radiology provider in Albany, Georgia, licensed in Georgia (045221) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073596789

Entity TypeIndividualMale

Primary Taxonomy2085N0904X

Provider Legal NameEDWIN J FORTENBERYCredential: MD

Location Address417 W 3RD AVEAlbany, GA 31701-1943

Mailing AddressPo Box 1828Albany, GA 31702-1828 · (706) 653-1088 · Fax (706) 653-1162

Phone(706) 653-1088

Fax(706) 653-1162

Sole ProprietorNo

Enumeration DateNovember 28, 2005

Last NPPES UpdateSeptember 11, 2025

✔ NPI 1073596789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiology · Nuclear RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085N0904X

License✔ Licensed in GA · 045221

Definition

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.

Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License 045221 (GA)

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X · License 045221 (GA)

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 045221 (GA)

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 045221 (GA)

417 W 3RD AVE, Albany, GA 31701

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Other Identifiers 1

OtherBCBSGA · 52584721 013

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwin J Fortenbery Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Edwin Fortenbery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoebe Physiatry

0.1 mi

Physical Medicine & Rehabilitation

425 W 3RD AVE, 105
Albany, GA 31701

Reassigned Medicare billing, Georgia and Alabama enrollments
Medicare enrollment name: Phoebe Physician Group Inc
Also billed through NPI 1487899464 (Alabama)
1,118 clinicians in this Medicare group

NPI 1295055861 (229) 312-5080

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 3

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.

X-ray of chest, 1 view 71045

A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.

77 services74 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

11 services11 patients

X-ray of abdomen, 2 views 74019

An X-ray of the abdomen, 2 views, is a non-invasive imaging test. It uses a small amount of radiation to capture pictures of the structures inside your belly. The two views provide different angles, helping doctors see your organs clearly and detect any issues.

11 services11 patients

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.

DR. ENRIQUE PATRICK LOPEZ M.D.

Surgery (Surgical Critical Care)