JEAN M FORTGANG NP
NPI 1609926187
Nurse Practitioner - Family in Norcross, GA

Q: What is Jean Fortgang's NPI number?

The NPI number for Jean Fortgang is 1609926187. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Jean Fortgang'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 Jean Fortgang was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 10, 2007PECOS Enrolled

3720 DAVINCI CT, NORCROSS, GA 30092(770) 582-3838 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jean M Fortgang Np NPPES

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

JEAN M FORTGANG NP (NPI 1609926187) is an individual family provider in Norcross, Georgia, licensed in Georgia (RN113594 NP) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609926187

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJEAN M FORTGANGCredential: NP

Location Address3720 DAVINCI CTNorcross, GA 30092-7627

Mailing Address5145 Mcintosh DrCumming, GA 30040-9680 · (770) 582-3838

Phone(770) 582-3838

Sole ProprietorYes

Enumeration DateJanuary 10, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609926187 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 · RN113594 NP

3720 DAVINCI CT, Norcross, GA 30092

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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 (PECOS)

Jean M Fortgang Np 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 30092 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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