NPIMap

Individual provider Active NPI

Kristine Aura Ortega-Fonte, M.D.

  • Family Medicine Physician
  • Acworth, GA
National Provider Identifier
1063772309
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
87451 Issued in GA
Practice address
4791 S Main St Ste 100
Acworth, GA 30101-5324
Phone
(404) 251-1600
NPI assigned
May 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.31401 AL
Family Medicine Physician 207Q00000X 87451 GA Primary

Addresses

Primary practice location

4791 S Main St Ste 100
Acworth, GA 30101-5324

Mailing address

4791 S Main St Ste 100
Acworth, GA 30101-5324
Phone (404) 251-1600

Other identifiers 2

IdentifierTypeStateIssuer
180293MedicaidAL
511-70128OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120815000613 AL Practitioner - Family Practice 5799931226
I20210828000364 GA Practitioner - Family Practice 5799931226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Floyd Healthcare Management IncGroup PAC ID 5193633386, 133 clinicians

Practice addresses (Care Compare)

110 Cherokee PL
Cartersville, GA 30121-2954
Phone (770) 386-6300

1821 Clifton Rd NE
Atlanta, GA 30329-4021
Phone (404) 728-6812

48 Hills Creek Rd
Taylorsville, GA 30178-2051
Phone (770) 684-8700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.31401ALMDFamily Medicine Physician
87451GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Specialty Associates, LLC Family Medicine CurrentSince Sep 3, 2022 Accepting new patients
Floyd Healthcare Management Inc CurrentSince Oct 1, 2025 Accepting new patients
Floyd Healthcare Management Inc Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Past Accepting new patients
Health Care Authority for Baptist Health, an Affiliate of Uabhs Family Medicine Past Accepting new patients

Locations

4791 S Main St
Ste 100
Acworth, GA 30101
Phone (404) 251-1600

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212

48 Hills Creek Rd
Taylorsville, GA 30178
Phone (770) 684-8700

Interoperability endpoints

  • Direct secure messaging: kortegafonte3046898@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1063772309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4791 S MAIN ST STE 100",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015324",
            "telephone_number": "404-251-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4791 S MAIN ST STE 100",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301015324",
            "telephone_number": "404-251-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA-FONTE",
        "first_name": "KRISTINE",
        "middle_name": "AURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-21",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.31401",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "87451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180293",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "511-70128",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.