MR. JASON FORDYCE PMHNP-BC
NPI 1346816865
Nurse Practitioner - Psychiatric/Mental Health in Villa Rica, GA

Q: What is Jason Fordyce's NPI number?

The NPI number for Jason Fordyce is 1346816865. It was assigned to this individual provider in the NPPES registry on June 3, 2021.

Q: What is Jason Fordyce's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jason Fordyce was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 June 03, 2021PECOS Enrolled

307 OLD STONE RD, VILLA RICA, GA 30180(770) 459-8799 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2021, Jun 3, 2021 (2 updates tracked since 2021).

On this page

About Mr. Jason Fordyce Pmhnp-bc NPPES

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

MR. JASON FORDYCE PMHNP-BC (NPI 1346816865) is an individual psychiatric/mental health provider in Villa Rica, Georgia, licensed in Georgia (RN223272) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346816865

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. JASON FORDYCECredential: PMHNP-BC

Location Address307 OLD STONE RDVilla Rica, GA 30180-1214

Mailing Address307 Old Stone RdVilla Rica, GA 30180-1214 · (770) 459-8799

Phone(770) 459-8799

Sole ProprietorNo

Enumeration DateJune 3, 2021

Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration

NPPES CertifiedJuly 8, 2021

✔ NPI 1346816865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in GA · RN223272

307 OLD STONE RD, Villa Rica, GA 30180

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jason Fordyce Pmhnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30180 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 5

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

POTTERS HANDS INSTITUTE LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)