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DR. GRADY AUSBUR FORTNER M.D.
NPI 1043636202
Emergency Medicine in Jacksonville, FL

Active since March 12, 2014PECOS Enrolled
554 KEILY STREET, JACKSONVILLE, FL 32212(757) 953-7550(757) 953-7560 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Grady Ausbur Fortner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GRADY AUSBUR FORTNER M.D. (NPI 1043636202) is an individual emergency medicine provider in Jacksonville, Florida, licensed in Guam (M-2191) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043636202
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. GRADY AUSBUR FORTNERCredential: M.D.
Location Address554 KEILY STREETJacksonville, FL 32212
Mailing AddressPo Box 25578Barrigada, GU 96921-5578 · (671) 480-7934
Phone(757) 953-7550
Fax(757) 953-7560
Sole ProprietorYes
Enumeration DateMarch 12, 2014
Last NPPES UpdateDecember 17, 2019
✔ NPI 1043636202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in GU · M-2191✔ Licensed in VA · 0116027243
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
554 KEILY STREET, Jacksonville, FL 32212
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Grady Ausbur Fortner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
135 services121 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
80 services75 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIN RAE SPADARO HAMERSLEY D.O.
Otolaryngology
554 KEILY STREET
JACKSONVILLE, FL 32212
Duval County (757) 953-7550
DR. BENJAMIN DAVID HOAGLAND MD
Surgery
554 KEILY STREET
JACKSONVILLE, FL 32212
Duval County (757) 953-7550
ANDREW STEADMAN
Dentist
554 KEILY STREET
JACKSONVILLE, FL 32212
Duval County (757) 953-7550
DR. CHRISTOPHER SCOTT LOVE M.D.
Pediatrics
554 KEILY STREET
JACKSONVILLE, FL 32212
Duval County (757) 953-7550
ZACHARY J JIN DMD
Dentist
554 KEILY STREET, BUREAU OF MED AND SURG CREDENTIALING AND PRIVILEGEING
JACKSONVILLE, FL 32212
Duval County (757) 953-1897
TYLISHA ELYSE DESHIELDS LCSW-C
Social Worker (Clinical)
554 KEILY STREET
JACKSONVILLE, FL 32212
Duval County (757) 953-7550
JULIANNE BURKE DAVISON MD
Emergency Medicine
554 KEILY STREET
JACKSONVILLE, FL 32212
Duval County (757) 953-7550
GEORGE S BENNITT DDS
Dentist (General Practice)
554 KEILY STREET
JACKSONVILLE, FL 32212
Duval County (757) 953-7550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grady Fortner's NPI number?

The NPI number for Grady Fortner is 1043636202. It was assigned to this individual provider in the NPPES registry on March 12, 2014.

Where is Grady Fortner located?

Grady Fortner practices at 554 Keily Street, Jacksonville, FL 32212. The listed phone number is (757) 953-7550.

What is Grady Fortner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Grady Fortner enrolled in Medicare?

Yes. Grady Fortner is registered in the Medicare PECOS enrollment system.

What insurance does Grady Fortner accept?

Health plans from HMO Louisiana list Grady Fortner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grady Fortner was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.