MADELEINE FORTIN
NPI 1518067636
Family Medicine - Adult Medicine in Atlanta, GA
About Madeleine Fortin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADELEINE FORTIN (NPI 1518067636) is an individual adult medicine provider in Atlanta, Georgia, licensed in Georgia (55433) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Madeleine Fortin 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.
Medicare Billing Reassignment
Medicare enrollment records show Madeleine Fortin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30328 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.
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
ATLANTA, GA 30328
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 Madeleine Fortin's NPI number?
The NPI number for Madeleine Fortin is 1518067636. It was assigned to this individual provider in the NPPES registry on September 25, 2006.
Where is Madeleine Fortin located?
Madeleine Fortin practices at 20 Glenlake Pkwy, Atlanta, GA 30328. The listed phone number is (770) 677-6085.
What is Madeleine Fortin's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Madeleine Fortin enrolled in Medicare?
Yes. Madeleine Fortin 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.
Which organization bills Medicare for Madeleine Fortin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madeleine Fortin reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, 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 Madeleine Fortin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Madeleine Fortin was last updated on January 13, 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.
# Madeleine Fortin · NPI 1518067636
Adult Medicine physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since September 25, 2006.
## Identity
- **NPI:** 1518067636 (Entity type: Individual)
- **Enumerated:** September 25, 2006
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **State license:** 55433 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 GLENLAKE PKWY, Atlanta, GA 30328-3473
- **Phone:** (770) 677-6085
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1994
## Record status
- **NPPES last updated:** January 13, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1518067636) · Data from the CMS NPPES public registry.