Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly E Fordham, PA-C

Individual provider Physician Assistant · NPI 1578983433

Kelly E Fordham, PA-C is a Physician Assistant in Mountain Brk, Alabama. Qualified in 2013, 13 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
13
Licensed in
AL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2900 Cahaba Rd
Mountain Brk, AL 35223-1937
Phone: (205) 877-9773
Fax: (205) 877-9775
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 430 Fieldstown Rd Ste 104, Gardendale, AL 35071-2458 — (205) 877-9773
  • 14 Office Park Cir, Mountain Brk, AL 35223-2563 — (205) 877-9773
  • 150 Gilbreath Dr, Oneonta, AL 35121-2827 — (205) 877-9773

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.961 (AL)

Record details

NPI number1578983433
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 18, 2014
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025
Mailing address801 York St, Manitowoc, WI 54220-4630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Mountain Brk