LOUIS R FERNANDEZ (MD) – Obstetrics & Gynecology Physician, NPI 1548253651

Obstetrics & Gynecology Physician

LOUIS R FERNANDEZ (MD) is a healthcare provider. based in Elberton, Georgia. specializing in Obstetrics & Gynecology Physician. They hold the professional credentials MD. They hold a License No. 39790 (GA). The NPI Number for LOUIS R FERNANDEZ (MD) is 1548253651

Main info

Male

Sole Proprietor

33 Years Of Experience

Accepts Medicare Assignment

Name

LOUIS R FERNANDEZ (MD)

NPI

1548253651

Phone

(706) 213-2580

Address

46 LAUREL DR

Enumeration Date

24 August 2005

Last Update Date

21 March 2023

Doctor Profile

Medical School Name

EMORY UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

7062132580

Graduation Year

1993 (33 years ago)

PAC ID

5092785600

Group Practice PAC ID

6800889841

Professional Enrollment ID

I20040802000765

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience64

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for LOUIS R FERNANDEZ (MD)

46, Laurel Drive, Elberton, Elbert County, Georgia, 30635, United States
ELBERTON, GA 306351842
Phone: (706) 213-2580
Fax: (706) 522-2143
Type: Location
111 TRAVELERS PT
TOCCOA, GA 305779169
Phone: (706) 988-9300
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20040802000765	I	Obstetrics/Gynecology	GA	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30635)

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Provider's Procedures

LOUIS R FERNANDEZ (MD) performs procedures in Obstetrics & Gynecology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
OBSTETRICS/GYNECOLOGY	GA	76830	Ultrasound pelvis through vagina	46	38

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 6800889841View full group profile

Name	Specialty	State
MRS. CHRISTINE BUTTREY (RD, LD)	-	GA
DR. TAKAYA LINNE JONES (M.D.)	Family Practice	UT
Unknown Individual	-	SC
ALAN LEN RIVERA (M.D.)	Internal Medicine	OH
SHALIZA HANICK (APRN)	Nurse Practitioner	GA
RUSSELL FRANKLIN PRUITT (M.D.)	General Surgery, Colorectal Surgery (Proctology)	GA