MRS. EMILEA EMADE MFORTOW FNP-C
NPI 1376993600
Nurse Practitioner - Family in Atlanta, GA

Q: What is Emilea Mfortow's NPI number?

The NPI number for Emilea Mfortow is 1376993600. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Q: What is Emilea Mfortow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Emilea Mfortow was last updated on June 14, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment

868 YORK AVE SW, ATLANTA, GA 30310(404) 752-1400 Get Directions Write a Review

NPPES record last updated: June 14, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2018, Jun 17, 2016 (2 updates tracked since 2016).

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About Mrs. Emilea Emade Mfortow Fnp-c NPPES

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

MRS. EMILEA EMADE MFORTOW FNP-C (NPI 1376993600) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN191561) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376993600

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. EMILEA EMADE MFORTOWCredential: FNP-C

Location Address868 YORK AVE SWAtlanta, GA 30310

Mailing Address1032 Grove Trail PassDouglasville, GA 30134-8007 · (404) 610-3591

Phone(404) 752-1400

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJune 17, 2016

Last NPPES UpdateJune 14, 20182 updates tracked since enumeration

✔ NPI 1376993600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN191561

868 YORK AVE SW, Atlanta, GA 30310

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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 and accepts Medicare assignment

Mrs. Emilea Emade Mfortow Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527482744

PECOS Enrollment IDI20200721003604

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 30310 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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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.

THERESA R JACOBS MD

Family Medicine