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DR. CARMEN FRANCES FONG MD
NPI 1417290768
Colon & Rectal Surgery in Sandy Springs, GA

Active since April 04, 2013PECOS EnrolledAccepts Medicare Assignment
6105 PEACHTREE DUNWOODY RD STE C245, SANDY SPRINGS, GA 30328(770) 442-3117(678) 701-1722 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2025, Mar 4, 2024, Jun 20, 2023 and 2 more (5 updates tracked since 2021).

About Dr. Carmen Frances Fong Md NPPES

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

DR. CARMEN FRANCES FONG MD (NPI 1417290768) is an individual colon & rectal surgery provider in Sandy Springs, Georgia, licensed in Georgia (94169) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Michigan State University College Of Human Medicine (2013).

NPPES Registry Identity

NPI1417290768
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. CARMEN FRANCES FONGCredential: MD
Location Address6105 PEACHTREE DUNWOODY RD STE C245Sandy Springs, GA 30328-5911
Mailing Address2500 Hospital Blvd Ste 150Roswell, GA 30076-4976 · (770) 442-3117 · Fax (678) 701-1722
Phone(770) 442-3117
Fax(678) 701-1722
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2013
Enumeration DateApril 4, 2013
Last NPPES UpdateApril 3, 20255 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1417290768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in GA · 94169✔ Licensed in NY · 293158
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
6105 PEACHTREE DUNWOODY RD STE C245, Sandy Springs, GA 30328
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Secondary Practice Locations 5

Location 1600 Professional Dr Ste 130Lawrenceville, GA 30046-7638 · Phone (770) 442-3117 · Fax (678) 701-1722
Location 22500 Hospital Blvd Ste 150Roswell, GA 30076-4976 · Phone (770) 442-3117 · Fax (678) 701-1722
Location 34298 Atlanta Road SE, Suite 320Smyrna, GA 30080-3007 · Phone (770) 442-3117 · Fax (678) 701-1722
Location 41505 Northside Blvd Ste 3400Cumming, GA 30041-8223 · Phone (770) 442-3117 · Fax (678) 701-1722
Location 52784 N Decatur Rd Ste 150Decatur, GA 30033-5993 · Phone (770) 442-3117 · Fax (678) 701-1722

Accepted Insurance

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

Dr. Carmen Frances Fong 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 ID2466783378
PECOS Enrollment IDI20230330000625
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 Carmen Fong reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Fulton General Surgery, PC
9.9 mi
Surgery
2500 HOSPITAL BLVD STE 150
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
NPI 1679757413 (770) 442-3117

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 4

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.

Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
60 services35 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
50 services26 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients
Study of rectum sensitivity and function 91122
This procedure examines the rectum's sensitivity and functionality. It involves a small, soft balloon inserted into the rectum and inflated to various degrees. The goal is to assess how well your rectum can sense and respond to different volumes. It's a crucial test for diagnosing certain digestive issues.
16 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30328 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Carmen Fong's NPI number?

The NPI number for Carmen Fong is 1417290768. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Carmen Fong located?

Carmen Fong practices at 6105 Peachtree Dunwoody Rd Ste C245, Sandy Springs, GA 30328. The listed phone number is (770) 442-3117.

What is Carmen Fong's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Carmen Fong enrolled in Medicare?

Yes. Carmen Fong 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 Carmen Fong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Fong reassigns Medicare benefits to North Fulton General Surgery, PC (Roswell, GA). 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 Carmen Fong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Fong accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Carmen Fong 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 Carmen Fong was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.