P Praxis·MD
● Active Type 1 · Individual

MR. Casey Lee Fordham, R MR

Radiologic Technologist·MacOn, GA· NPI 1114077401 · Enumerated 2007 · 19 years on NPI
Fordham is 1 of 8 radiologic technologist providers in MacOn and 1 of 27 in Georgia.
NPI age
19 years
Enumerated 2007-01-11
Primary specialty
Radiologic Technologist
Plus 1 subspecialty
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2026-04-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 27 active radiologic technologist providers in Georgia.

NPI age
19 years
↑ 6 yr above median (13 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 37% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Practice location
1504 Hardeman Ave
MacOn, GA 312011416
📞 4787453135
Mailing address
219 Lake Lillian Dr
Perry, GA 310699789
📞 4789889701

Specialties

  • Radiologic Technologist Primary
    A radiologic technologist who specializes in magnetic resonance imaging (MRI) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of MRIs, exam...
    taxonomy 2471M1202X
  • Radiologic Technologist
    A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.
    taxonomy 247100000X

Practice context

Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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