Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Zackary Fordham, MD

Individual provider Emergency Medicine Physician · NPI 1265589089

Zackary Fordham, MD practises Emergency Medicine in Gulfport, Mississippi. Graduated from University of Mississippi School of Medicine in 2006, 20 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Alabama, Maine and Mississippi.

Years since qualifying
20
Trained at
University of Mississippi School of Medicine
Licensed in
AL, ME, MS
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 13th St
Gulfport, MS 39502
Phone: (601) 672-3173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD18034 (ME)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 28369 (AL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 21091 (MS)

Record details

NPI number1265589089
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients647
Services billed 767 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Memorial Hospital At Gulfport Hospital · Gulfport, MS
  • St Vincent'S St Clair Hospital · Pell City, AL · listed as St Vincent's St Clair, LLC
  • Baptist Medical Center East Hospital · Montgomery, AL
  • Memorial Hospital Biloxi Hospital · Biloxi, MS
  • Prattville Baptist Hospital Hospital · Prattville, AL

Colleagues at Memorial Hospital at Gulfport

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 470 clinicians in the practice; 12 are shown here.

Other providers in Gulfport