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ASHLEY ERINN FORMAN PMHNP
NPI 1518329309
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
1200 ALTMORE AVE STE 200, ATLANTA, GA 30342(678) 426-2930(404) 256-2795 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ashley Erinn Forman Pmhnp NPPES

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

ASHLEY ERINN FORMAN PMHNP (NPI 1518329309) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Georgia (APRN-NP204187) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1518329309
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameASHLEY ERINN FORMANCredential: PMHNP
Location Address1200 ALTMORE AVE STE 200Atlanta, GA 30342-2495
Mailing Address1200 Altmore Ave Ste 200Atlanta, GA 30342-2495 · (678) 426-2930 · Fax (404) 256-2795
Phone(678) 426-2930
Fax(404) 256-2795
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 22, 2016
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1518329309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · APRN-NP204187
Also ListedRegistered NurseTaxonomy 163W00000X · License RN204187 (GA)
1200 ALTMORE AVE STE 200, Atlanta, GA 30342
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter Health.Insurance ›

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

Ashley Erinn Forman Pmhnp 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 ID3678839818
PECOS Enrollment IDI20171103002619
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ashley Forman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
5.6 mi
Family Medicine
1010 JOHNSON FERRY RD
Marietta, GA 30068
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1053617621 (770) 973-7302
Personal Recovery Network LLC
29 mi
Psychiatry
250 CORPORATE CENTER CT
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 592 clinicians in this Medicare group
NPI 1881990869 (770) 389-8100

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 30342 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

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

KATTEGUMMULA ANJALI REDDY LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
LARVITTA SHAWNET BAILEY LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
SANDY SPRINGS, GA 30342
Fulton County (770) 282-7123
LOVELYNE JOSEPH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
MRS. CHELSEA PATRICE WARD-SMITH LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
MS. JAMONICA TONIA THOMPSON LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
SANDY SPRINGS, GA 30342
Fulton County (678) 426-2930
ELISSA LYNN SANDERS LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
ASHLEY LE'ANN HEGGINS LCSW
Social Worker (Clinical)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930
SHAQUTIA SHENA FLORENCE LPC
Counselor (Professional)
1200 ALTMORE AVE STE 200
ATLANTA, GA 30342
Fulton County (678) 426-2930

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 Ashley Forman's NPI number?

The NPI number for Ashley Forman is 1518329309. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Ashley Forman located?

Ashley Forman practices at 1200 Altmore Ave Ste 200, Atlanta, GA 30342. The listed phone number is (678) 426-2930.

What is Ashley Forman's specialty?

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

Is Ashley Forman enrolled in Medicare?

Yes. Ashley Forman 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 organizations bill Medicare for Ashley Forman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Forman reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and Personal Recovery Network LLC (Stockbridge, GA). Each 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 Ashley Forman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Forman accept?

Health plans from Alliant Health Plans, Inc. and Ambetter Health list Ashley Forman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashley Forman was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.