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JOSE LUIS FERNANDEZ M.D.
NPI 1487641627
Internal Medicine in Hampton, GA

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
2201 TALMADGE RD, HAMPTON, GA 30228(678) 479-1234(678) 479-5678 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jose Luis Fernandez M.d. NPPES

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

JOSE LUIS FERNANDEZ M.D. (NPI 1487641627) is an individual internal medicine provider in Hampton, Georgia, licensed in Georgia (038483) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1487641627
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE LUIS FERNANDEZCredential: M.D.
Location Address2201 TALMADGE RDHampton, GA 30228-1608
Mailing Address530 City Park DrMcdonough, GA 30252-1021 · (770) 317-6312 · Fax (770) 506-4368
Phone(678) 479-1234
Fax(678) 479-5678
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 3, 2005
Last NPPES UpdateAugust 28, 2007
✔ NPI 1487641627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 038483
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2201 TALMADGE RD, Hampton, GA 30228
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Other Identifiers 2

Medicare ID-Type UnspecifiedIIBDWTFGA
Medicare UPINF80263GA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose Luis Fernandez M.d. 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 ID7113820374
PECOS Enrollment IDI20040219000433
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.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
212 services201 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30228 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

MRS. SHANICE THURMOND PA-C
Obstetrics & Gynecology
2201 TALMADGE RD
HAMPTON, GA 30228
Henry County (404) 564-7005
JACQKENIA WILLIAMS
Dental Hygienist
2201 TALMADGE RD
HAMPTON, GA 30228
Henry County (352) 575-8483
OBIAJULU C. OKAFOR M.D.
Obstetrics & Gynecology
2201 TALMADGE RD
HAMPTON, GA 30228
Henry County (678) 593-4666
SOUTHSIDE MEDICAL CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2201 TALMADGE RD
HAMPTON, GA 30228
Henry County (678) 593-4666

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 Jose Fernandez's NPI number?

The NPI number for Jose Fernandez is 1487641627. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Jose Fernandez located?

Jose Fernandez practices at 2201 Talmadge Rd, Hampton, GA 30228. The listed phone number is (678) 479-1234.

What is Jose Fernandez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Fernandez enrolled in Medicare?

Yes. Jose Fernandez 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.

What insurance does Jose Fernandez accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jose Fernandez 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 Jose Fernandez affiliated with any hospitals?

According to CMS data, Jose Fernandez is affiliated with Houston Healthcare.

When was this NPI record last updated?

The NPPES record for Jose Fernandez was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.