DR. JAMES FORTSON MD MBA MPH FACS
NPI 1205836194
Otolaryngology in East Point, GA

Q: What is James Fortson's NPI number?

The NPI number for James Fortson is 1205836194. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Q: What is James Fortson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for James Fortson was last updated on January 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 July 21, 2005PECOS Enrolled

1136 CLEVELAND AVE, SUITE 300, EAST POINT, GA 30344(404) 768-9350(404) 768-2530 Get Directions Write a Review

NPPES record last updated: January 18, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. James Fortson Md Mba Mph Facs NPPES

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

DR. JAMES FORTSON MD MBA MPH FACS (NPI 1205836194) is an individual otolaryngology provider in East Point, Georgia, licensed in Georgia (043205) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205836194

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JAMES FORTSONCredential: MD MBA MPH FACS

Location Address1136 CLEVELAND AVE, SUITE 300East Point, GA 30344-3618

Mailing AddressPo Box 838Tucker, GA 30085-0838 · (404) 768-9351 · Fax (404) 768-2530

Phone(404) 768-9350

Fax(404) 768-2530

Sole ProprietorYes

Enumeration DateJuly 21, 2005

Last NPPES UpdateJanuary 18, 2013

✔ NPI 1205836194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in GA · 043205

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

1136 CLEVELAND AVE, East Point, GA 30344

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Other Identifiers 3

Medicare ID-Type Unspecified02BDFWGGA

Medicaid000738603BGA

Medicare UPINA02767

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Fortson Md Mba Mph Facs 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.

Medicare Billing Reassignment

Medicare enrollment records show James Fortson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

James K. Fortson, M.D., P.C.

Same address

Otolaryngology

1136 CLEVELAND AVE, SUITE 300
East Point, GA 30344

Reassigned Medicare billing, Georgia enrollment

NPI 1245385806 (404) 768-9350

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

129 services55 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

69 services48 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

57 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30344 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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.

EILEEN BYRD, DPM PC

Podiatrist

1136 CLEVELAND AVE, SUITE 305
EAST POINT, GA 30344

Fulton County (404) 762-9221

THE COMPLETE WOMEN'S GROUP, PC

Obstetrics & Gynecology

1136 CLEVELAND AVE, 317
EAST POINT, GA 30344

Fulton County (404) 964-8468

DR. YSSA SAADDINE MD

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1136 CLEVELAND AVE, STE 209
EAST POINT, GA 30344

Fulton County (404) 762-8211

YSSA SAAD DINE M D P C

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1136 CLEVELAND AVE, STE#209
EAST POINT, GA 30344

Fulton County (404) 762-8211

ATLANTA MINIMALLY INVASIVE SURGICAL ASSOC LLC

Surgery

1136 CLEVELAND AVE, SUITE 611
EAST POINT, GA 30344

Fulton County (770) 378-2449

CARL STANLEY MITCHELL JR. DDS

Dentist

1136 CLEVELAND AVE, SUITE 202
EAST POINT, GA 30344

Fulton County (404) 766-4386

JAMES M FREEMONT SR MD MHA PC

Obstetrics & Gynecology

1136 CLEVELAND AVE, SUITE 208
EAST POINT, GA 30344

Fulton County (404) 768-3487

DR. FAWAZ F AKBIK M.D.

Internal Medicine (Pulmonary Disease)

1136 CLEVELAND AVE, STE 519
EAST POINT, GA 30344

Fulton County (404) 761-3525

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 James Fortson's NPI number?

The NPI number for James Fortson is 1205836194. It was assigned to this individual provider in the NPPES registry on July 21, 2005.

Where is James Fortson located?

James Fortson practices at 1136 Cleveland Ave Suite 300, East Point, GA 30344. The listed phone number is (404) 768-9350.

What is James Fortson's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is James Fortson enrolled in Medicare?

Yes. James Fortson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Fortson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fortson reassigns Medicare benefits to James K. Fortson, M.D., P.C. (East Point, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Fortson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fortson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list James Fortson 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 James Fortson was last updated on January 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.