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FIONA NOELLE DENHAM MD
NPI 1871892208
Surgery in Athens, GA

Active since March 24, 2011PECOS EnrolledAccepts Medicare Assignment
1010 PRINCE AVE STE 200, ATHENS, GA 30606(706) 425-1430 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2025, Aug 8, 2023, Jan 20, 2021 and 2 more (5 updates tracked since 2017).

About Fiona Noelle Denham Md NPPES

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

FIONA NOELLE DENHAM MD (NPI 1871892208) is an individual surgery provider in Athens, Georgia, licensed in Georgia (104778) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Piedmont Athens Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871892208
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameFIONA NOELLE DENHAMCredential: MD
Location Address1010 PRINCE AVE STE 200Athens, GA 30606-5820
Mailing Address200 High Park AveGoshen, IN 46526-4810
Phone(706) 425-1430
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 24, 2011
Last NPPES UpdateSeptember 16, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1871892208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 104778
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Surgical OncologyTaxonomy 2086X0206X · License 01078998A (IN)
1010 PRINCE AVE STE 200, Athens, GA 30606
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Secondary Practice Locations 2

Location 11135 Professional DrGoshen, IN 46526-3800 · Phone (574) 364-4600 · Fax (574) 364-4670
Location 2200 High Park AveGoshen, IN 46526-4810 · Phone (574) 364-2888

Other Identifiers 1

Medicaid300004978IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Buckeye Health Plan, Ambetter from Meridian 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

Fiona Noelle Denham 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 ID3577706514
PECOS Enrollment IDI20250813001975
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services67 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services17 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Goshen Hospital

Acute Care Hospitals · Goshen, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150026
Location200 High Park AveGoshen, IN 46526 · Elkhart County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES

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

MICHELLE M GAMBLIN PA
Physician Assistant
1010 PRINCE AVE STE 200
ATHENS, GA 30606
Clarke County (706) 425-1430

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 Fiona Denham's NPI number?

The NPI number for Fiona Denham is 1871892208. It was assigned to this individual provider in the NPPES registry on March 24, 2011.

Where is Fiona Denham located?

Fiona Denham practices at 1010 Prince Ave Ste 200, Athens, GA 30606. The listed phone number is (706) 425-1430.

What is Fiona Denham's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Fiona Denham enrolled in Medicare?

Yes. Fiona Denham 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 Fiona Denham accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Fiona Denham 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 Fiona Denham affiliated with any hospitals?

According to CMS data, Fiona Denham is affiliated with Piedmont Athens Regional Medical Center and Goshen Hospital.

When was this NPI record last updated?

The NPPES record for Fiona Denham was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.