JAMES FORTENBERRY MD
NPI 1194788869
Pediatrics - Pediatric Critical Care Medicine in Brookhaven, GA

Q: What is James Fortenberry's NPI number?

The NPI number for James Fortenberry is 1194788869. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Q: What is James Fortenberry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for James Fortenberry was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 11, 2006PECOS Enrolled

1575 NORTHEAST EXPY NE, BROOKHAVEN, GA 30329(404) 785-1313(404) 785-6233 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 6, 2022, Jun 25, 2021 (2 updates tracked since 2021).

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About James Fortenberry Md NPPES

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

JAMES FORTENBERRY MD (NPI 1194788869) is an individual pediatric critical care medicine provider in Brookhaven, Georgia, licensed in Georgia (35875) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194788869

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameJAMES FORTENBERRYCredential: MD

Location Address1575 NORTHEAST EXPY NEBrookhaven, GA 30329-2401

Mailing Address1575 Northeast Expy NeBrookhaven, GA 30329-2401 · (404) 785-1313 · Fax (404) 785-6233

Phone(404) 785-1313

Fax(404) 785-6233

Sole ProprietorNo

Enumeration DateApril 11, 2006

Last NPPES UpdateJune 6, 20222 updates tracked since enumeration

✔ NPI 1194788869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in GA · 35875

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

1575 NORTHEAST EXPY NE, Brookhaven, GA 30329

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James Fortenberry Md 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.

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.

DANIEL SALINAS MD

Pediatrics