Jerry Fasoldt, M.D.
NPI 1245394873 · Family Medicine Physician · Fort Stewart, GA
Enrolled with Medicare as Order and Referring Only - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerry Fasoldt, M.D. is a Family Medicine Physician provider in Fort Stewart, GA (NPI 1245394873).
Provider details
- NPI number
- 1245394873
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 01064093A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-20
- Last updated
- 2017-03-03
Frequently asked questions
- What is Jerry Fasoldt's NPI number?
- Jerry Fasoldt's National Provider Identifier (NPI) is 1245394873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerry Fasoldt's specialty?
- Jerry Fasoldt is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry Fasoldt located?
- Jerry Fasoldt's practice location on file with NPPES is 1061 Harmon Ave, Fort Stewart, GA 31314-5641.
- What is Jerry Fasoldt's phone number?
- The practice phone number listed in the NPPES registry for Jerry Fasoldt is (912) 435-6965.
- Does Jerry Fasoldt accept Medicare?
- Jerry Fasoldt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerry Fasoldt's NPI active?
- Yes — Jerry Fasoldt's NPI (1245394873) is active in the NPPES registry as of the last update on 2017-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.