GRAYSON TYLER FORTIN DO
NPI 1225898067
Student in an Organized Health Care Education/Training Program in Norfolk, VA
About Grayson Tyler Fortin Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRAYSON TYLER FORTIN DO (NPI 1225898067) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Grayson Tyler Fortin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
NORFOLK, VA 23507
NORFOLK, VA 23507
NORFOLK, VA 23507
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 Grayson Fortin's NPI number?
The NPI number for Grayson Fortin is 1225898067. It was assigned to this individual provider in the NPPES registry on March 20, 2024.
Where is Grayson Fortin located?
Grayson Fortin practices at 600 Gresham Dr, Norfolk, VA 23507. The listed phone number is (757) 446-7934.
What is Grayson Fortin's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Grayson Fortin enrolled in Medicare?
Yes. Grayson Fortin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Grayson Fortin was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Grayson Tyler Fortin, DO · NPI 1225898067
Student in an Organized Health Care Education/Training Program provider in Norfolk, Virginia. Individual provider, active in the CMS NPPES registry since March 20, 2024.
## Identity
- **NPI:** 1225898067 (Entity type: Individual)
- **Enumerated:** March 20, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 600 GRESHAM DR, Norfolk, VA 23507-1904
- **Phone:** (757) 446-7934
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 20, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225898067) · Data from the CMS NPPES public registry.