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HABERSHAM FAMILY MEDICINE
NPI 1326022328
Family Medicine in Demorest, GA

Active since December 02, 2005CLIA 11D0951817 · Waiver
865 AUSTIN DR, DEMOREST, GA 30535(706) 754-8811(706) 754-8822 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Habersham Family Medicine NPPES

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

HABERSHAM FAMILY MEDICINE (NPI 1326022328) is a healthcare organization registered as a family medicine in Demorest, Georgia and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through September 28, 2028 and lists Donald L Fordham, Owner, as its authorized official.

NPPES Registry Identity

NPI1326022328
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHABERSHAM FAMILY MEDICINE
Location Address865 AUSTIN DRDemorest, GA 30535-4513
Mailing AddressPo Box 308Demorest, GA 30535-0308 · (706) 754-8811 · Fax (706) 754-8822
Phone(706) 754-8811
Fax(706) 754-8822
Organization SubpartNo
Authorized OfficialDonald L FordhamOwner · (706) 754-8811
Enumeration DateDecember 2, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326022328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 044718
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
865 AUSTIN DR, Demorest, GA 30535
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Habersham Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Habersham Family Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Donald Fordham, M.D.
Family Practice
NPI 1477537470
865 AUSTIN DR
Demorest, GA 30535
(706) 754-8811
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0951817

Habersham Family Medicine PC · Demorest, GA
Active · expires Sep 28, 2028
CLIA Number11D0951817
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2026
Certificate Expiration DateSeptember 28, 2028
Laboratory DirectorDonald L. Fordham MD
Laboratory Phone(706) 754-8811
Laboratory LocationHabersham Family Medicine PC865 Austin Drive, Demorest, GA 30535
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Habersham Family Medicine's NPI number?

The NPI number for Habersham Family Medicine is 1326022328. It was assigned to this organization in the NPPES registry on December 2, 2005.

Where is Habersham Family Medicine located?

Habersham Family Medicine is located at 865 Austin Dr, Demorest, GA 30535. The listed phone number is (706) 754-8811.

What is Habersham Family Medicine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Habersham Family Medicine enrolled in Medicare?

Yes. Habersham Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Habersham Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Habersham Family Medicine. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Habersham Family Medicine hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0951817) is associated with this NPI, valid through September 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Habersham Family Medicine was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.