ZACKARY FORDHAM MD
NPI 1265589089
Emergency Medicine in Gulfport, MS
About Zackary Fordham Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACKARY FORDHAM MD (NPI 1265589089) is an individual emergency medicine provider in Gulfport, Mississippi, licensed in Maine (MD18034) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of University Of Mississippi School Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
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
Zackary Fordham 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.
Medicare Billing Reassignments
8Medicare enrollment records show Zackary Fordham reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39501
- Reassigned Medicare billing, Mississippi enrollment
- 731 clinicians in this Medicare group
Enterprise, AL 36330
- Reassigned Medicare billing, Alabama enrollment
- 514 clinicians in this Medicare group
Prattville, AL 36067
- Reassigned Medicare billing, Alabama enrollment
- 223 clinicians in this Medicare group
Lake Charles, LA 70601
- Reassigned Medicare billing, Louisiana enrollment
- 167 clinicians in this Medicare group
Birmingham, AL 35205
- Reassigned Medicare billing, Alabama enrollment
- 646 clinicians in this Medicare group
Shreveport, LA 71105
- Reassigned Medicare billing, Louisiana enrollment
- 90 clinicians in this Medicare group
Douglas, WY 82633
- Reassigned Medicare billing, Wyoming enrollment
- Also billed through NPI 1326085408 (Wyoming)
- 131 clinicians in this Medicare group
Ellsworth, ME 04605
- Reassigned Medicare billing, Maine enrollment
- 167 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 8
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Zackary Fordham's NPI number?
The NPI number for Zackary Fordham is 1265589089. It was assigned to this individual provider in the NPPES registry on January 4, 2007.
Where is Zackary Fordham located?
Zackary Fordham practices at 4500 13th St, Gulfport, MS 39502. The listed phone number is (601) 672-3173.
What is Zackary Fordham's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Zackary Fordham enrolled in Medicare?
Yes. Zackary Fordham 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 organizations bill Medicare for Zackary Fordham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Zackary Fordham reassigns Medicare benefits to 8 organizations: Memorial Hospital At Gulfport (Gulfport, MS), Houston County Healthcare Authority (Enterprise, AL), Emergency Services Of Montgomery PC (Prattville, AL), Professional Emergency Medicine Management -- Lake Charles LLC (Lake Charles, LA), Paragon Contracting Services LLC (Birmingham, AL) and 3 more organizations, listed in the Medicare section above. Each 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 Zackary Fordham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Zackary Fordham accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Zackary 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.
Is Zackary Fordham affiliated with any hospitals?
According to CMS data, Zackary Fordham is affiliated with Memorial Hospital At Gulfport.
When was this NPI record last updated?
The NPPES record for Zackary Fordham was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Zackary Fordham, MD · NPI 1265589089
Emergency Medicine physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since January 4, 2007.
## Identity
- **NPI:** 1265589089 (Entity type: Individual)
- **Enumerated:** January 4, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** MD18034 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 13TH ST, Gulfport, MS 39502
- **Phone:** (601) 672-3173
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Memorial Hospital At Gulfport (NPI 1073606901, Gulfport, MS); Houston County Healthcare Authority (NPI 1619026606, Enterprise, AL); Emergency Services Of Montgomery PC (NPI 1528310323, Prattville, AL); Professional Emergency Medicine Management -- Lake Charles LLC (NPI 1023430766, Lake Charles, LA); Paragon Contracting Services LLC (NPI 1225071459, Birmingham, AL); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2006
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1265589089) · Data from the CMS NPPES public registry.