1. Home
  2. Directory
  3. Georgia
  4. Cochran
  5. Physician Assistant
  6. NPI Profile

DEANANNE D FORDHAM PAC
NPI 1215904446
Physician Assistant - Medical in Cochran, GA

Active since March 07, 2006PECOS Enrolled
109 S 3RD ST, COCHRAN, GA 31014(478) 934-4988(478) 934-4989 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deananne D Fordham Pac NPPES

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

DEANANNE D FORDHAM PAC (NPI 1215904446) is an individual medical provider in Cochran, Georgia, licensed in Georgia (003393) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215904446
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameDEANANNE D FORDHAMCredential: PAC
Location Address109 S 3RD STCochran, GA 31014-6718
Mailing Address109 S 3rd StCochran, GA 31014-6718 · (478) 934-4988 · Fax (478) 934-4989
Phone(478) 934-4988
Fax(478) 934-4989
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
✔ NPI 1215904446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in GA · 003393
109 S 3RD ST, Cochran, GA 31014
Open in Google Maps ↗

Other Names 1

Former Name (1)Deananne Dees Pac

Other Identifiers 1

Medicaid100001203AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deananne D Fordham Pac 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.

Other Providers at the Same Location NPPES 3

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

CARECONNECT HEALTH, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
109 S 3RD ST
COCHRAN, GA 31014
Bleckley County (478) 934-4988
JACOB LUNSFORD PA-C
Physician Assistant
109 S 3RD ST
COCHRAN, GA 31014
Bleckley County (478) 934-4988
SHERRI J. GRAHAM RN, MSN, FNP-C
Nurse Practitioner (Family)
109 S 3RD ST
COCHRAN, GA 31014
Bleckley County (478) 934-4988

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 Deananne Fordham's NPI number?

The NPI number for Deananne Fordham is 1215904446. It was assigned to this individual provider in the NPPES registry on March 7, 2006. The provider is also known as Deananne Dees Pac.

Where is Deananne Fordham located?

Deananne Fordham practices at 109 S 3rd St, Cochran, GA 31014. The listed phone number is (478) 934-4988.

What is Deananne Fordham's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Deananne Fordham enrolled in Medicare?

Yes. Deananne Fordham is registered in the Medicare PECOS enrollment system.

What insurance does Deananne Fordham accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Deananne Fordham 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.

When was this NPI record last updated?

The NPPES record for Deananne Fordham was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.