MR. KEITH WESLEY FORT PA-C
NPI 1487888061
Physician Assistant in Jonesboro, GA
About Mr. Keith Wesley Fort Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KEITH WESLEY FORT PA-C (NPI 1487888061) is an individual physician assistant in Jonesboro, Georgia, licensed in Georgia (006400) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Mr. Keith Wesley Fort Pa-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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JONESBORO, GA 30236
JONESBORO, GA 30236
JONESBORO, GA 30236
JONESBORO, GA 30236
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 Keith Fort's NPI number?
The NPI number for Keith Fort is 1487888061. It was assigned to this individual provider in the NPPES registry on May 11, 2009.
Where is Keith Fort located?
Keith Fort practices at 2400 Mount Zion Pkwy Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236. The listed phone number is (201) 943-9100.
What is Keith Fort's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Keith Fort enrolled in Medicare?
Yes. Keith Fort is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Keith Fort was last updated on January 10, 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.
# Mr. Keith Wesley Fort, PA-C · NPI 1487888061
Physician Assistant physician in Jonesboro, Georgia. Individual provider, active in the CMS NPPES registry since May 11, 2009.
## Identity
- **NPI:** 1487888061 (Entity type: Individual)
- **Enumerated:** May 11, 2009
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 006400 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2400 MOUNT ZION PKWY, KAISER PERMANENTE SOUTHWOOD MEDICAL CENTER, Jonesboro, GA 30236-2500
- **Phone:** (201) 943-9100 · **Fax:** (201) 943-7308
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 10, 2022
- **Other identifiers:** Other 162546NMS (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1487888061) · Data from the CMS NPPES public registry.