MR. FERNANDO A. DURALDE M.D. NPI 1407856552

NPI Information

  • NPI: 1407856552
  • Provider Name: MR. FERNANDO A. DURALDE, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1336 HIGHWAY 54 W
    BLDG 200
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (770) 716-9656

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NPI Details

MR. Fernando A. Duralde, M.D. is an urology in Fayetteville, GA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MR. Fernando A. Duralde, M.D. NPI is 1407856552. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1336 HIGHWAY 54 W
BLDG 200
FAYETTEVILLE, GA
ZIP 30214-535
Phone: (770) 716-9656
Fax: (770) 716-1609

The NPI 1407856552 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2005 and was last updated on 1/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology027370GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000439414EMEDICAIDGEORGIA
2202I340852MEDICARE PINGEORGIA
3F25620MEDICARE UPINGEORGIA
45371070002MEDICARE NSCGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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