Casey Lee Fordham , R MR
Radiologic Technologist • Macon, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Casey Fordham has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Casey Fordham, R MR was a registered Radiologic Technologist practicing in Macon, GA. Throughout an active medical career spanning 19 years, Casey Fordham provided care at the practice location at 1504 HARDEMAN AVE until profile deactivation on 2026-05-28.
Practice Location & Contact Primary Location
1504 Hardeman Ave
Macon, GA 312011416
Specialty Benchmarks & Practice Insights
Comparative analytics for Radiologic Technologist in Macon, GA
Practicing in Macon, GA (35 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 247100000X
A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Radiologic Technologist
RT(R)(ARRT)
Radiologic Technologist - Magnetic Resonance Imaging
Radiologic Technologist - Magnetic Resonance Imaging
Radiologic Technologist - Magnetic Resonance Imaging
Radiologic Technologist - Magnetic Resonance Imaging
RT(R)(CT)(MR)
Radiologic Technologist - Radiography
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 28, 2026
NPI status registered as active in NPPES database
Registered at 1504 HARDEMAN AVE, MACON, GA 312011416 (Tel: 4787453135)
Registered at 219 LAKE LILLIAN DR, PERRY, GA 310699789 (Tel: 4789889701)
Recorded as CASEY FORDHAM, R MR
Radiologic Technologist (License #347107 in None)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
219 Lake Lillian Dr
Perry, GA 310699789
Phone: 4789889701
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