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NPISignal

Individual Healthcare Provider

Edwin J Fortenbery, MD

NPI Record: ActiveRadiology — Nuclear Radiology
NPI1073596789
Albany, Georgia

Provider's NPPES record last updated: September 11, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1073596789
Primary Specialty
Radiology — Nuclear Radiology
Practice Location
Albany, Georgia
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 11:47 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Radiology

    Nuclear Radiology

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 2085N0904X
  • Radiology

    Diagnostic Radiology

    Allopathic & Osteopathic Physicians

    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

    Taxonomy code 2085R0202X
  • Radiology

    Vascular & Interventional Radiology

    Allopathic & Osteopathic Physicians

    A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

    Taxonomy code 2085R0204X
  • Radiology

    Neuroradiology

    Allopathic & Osteopathic Physicians

    A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

    Taxonomy code 2085N0700X
  • Radiology

    Pediatric Radiology

    Allopathic & Osteopathic Physicians

    A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

    Taxonomy code 2085P0229X

Provider-Reported License Information

Radiology (Georgia)
045221
Radiology (Georgia)
045221
Radiology (Georgia)
045221
Radiology (Georgia)
045221
Radiology (Georgia)
045221
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

417 W 3rd Ave

Albany, Georgia 31701-1943

Phone: (706) 653-1088

Record Information

Enumeration Date
November 28, 2005
Provider's NPPES Record Last Updated
September 11, 2025
NPISignal NPPES Dataset
August 2026

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