Individual provider

Edwin Fortenbery, MD

Nuclear Radiology Physician Diagnostic Radiology Physician Vascular & Interventional Radiology Physician Medicare enrolled

Edwin Fortenbery, MD is a Nuclear Radiology Physician in Albany, GA, registered under NPI 1073596789. This provider registers 5 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 417 W 3RD AVE, Albany, GA 31701. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

417 W 3RD AVE, Albany, GA 31701 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
045221 GA Nuclear Radiology Physician primary
045221 GA Diagnostic Radiology Physician
045221 GA Vascular & Interventional Radiology…
045221 GA Neuroradiology Physician
045221 GA Pediatric Radiology Physician

This provider holds licence 045221 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Diagnostic Radiology
PAC ID
2264329762

Medicare enrolment is recorded as approved under the provider type Practitioner - Diagnostic Radiology. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Nuclear Radiology covers

A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. NUCC Health Care Provider Taxonomy, code 2085N0904X
Allopathic & Osteopathic Physicians Radiology Nuclear Radiology

All registered taxonomy codes

This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2085N0904X Nuclear Radiology Physician Nuclear Radiology 045221 GA primary
2085R0202X Diagnostic Radiology Physician Diagnostic Radiology 045221 GA
2085R0204X Vascular & Interventional Radiology Physician Vascular & Interventional Radiology 045221 GA
2085N0700X Neuroradiology Physician Neuroradiology 045221 GA
2085P0229X Pediatric Radiology Physician Pediatric Radiology 045221 GA

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1073596789 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 28, 2005
Last updatedSep 11, 2025
StatusActive
Sole proprietorNo
CredentialMD
Practice address 417 W 3RD AVE
Albany, GA 31701
(706) 653-1088
Fax (706) 653-1162
Mailing address PO BOX 1828
Albany, GA 31702
Other identifiers BCBS · 52584721 013 (GA)
This record was updated on Sep 11, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1073596789 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 7 3 5 9 6 7 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 5 3 1 9 3 7 7

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1073596789?
NPI 1073596789 is the National Provider Identifier assigned to Edwin Fortenbery, MD in Albany, GA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Nuclear Radiology cover?
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
How do I contact Edwin Fortenbery, MD?
The phone number on file with NPPES is (706) 653-1088, last updated Sep 11, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Edwin Fortenbery, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1073596789 a valid number?
Yes. 1073596789 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.