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

Tonya Fowler Fordham, DO

Individual provider Family Medicine Physician · NPI 1861462053

Tonya Fowler Fordham, DO is a Family Practice in Baxley, Georgia. Graduated from West Virginia School of Osteopathic Medicine in 1994, 32 years ago. Practices with Southland Emergency Medical Services Consolidated, LLC, a 46-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
32
Trained at
West Virginia School of Osteopathic Medicine
Licensed in
GA
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

18 Luckie St Ste F
Baxley, GA 31513-0358
Phone: (912) 366-1362
Fax: (912) 366-1365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 049292 (GA)

Record details

NPI number1861462053
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJanuary 23, 2006
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address18 Luckie St, Ste F, Baxley, GA 31513-0358

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolWEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated 1994 (32 years in practice)
Group practice Southland Emergency Medical Services Consolidated, Llc — 46 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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