Macy Elizabeth Fortner

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN277679 Issued in GA

Practice address

25 Hemlock Shoals Dr
Dawsonville, GA 30534-0043

Phone

(770) 533-3398

NPI assigned

Apr 3, 2020

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

79.29 of 100Reported as group

Quality

67.84

Promoting interoperability

73

Improvement activities

40

Cost

85.62

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Fortner Surgical Assisting P.C.

  • Nursing Care Agency
  • Dawsonville, GA
  • NPI 1457011314
  NPD Authorized official
• Southern Surgical Assistants, LLC

  • Nurse Practitioner
  • Braselton, GA
  • NPI 1063687267
  NPD
• Northside Surgical Professional Services LLC

  • Surgery Physician
  • Atlanta, GA
  • NPI 1356630990
  NPD (past)
• Southern Surgical Assistants LLC

  • Nurse Practitioner
  • Cumming, GA
  • NPI 1417224650
  NPD (past)

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1154950905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HEMLOCK SHOALS DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340043",
            "telephone_number": "770-533-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HEMLOCK SHOALS DR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305340043",
            "telephone_number": "770-533-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTNER",
        "first_name": "MACY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-03",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN277679",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN277679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Flax, CPNP, APRN
• Romona Floyd
• Farah Yasmeen Fnu
• Focus Factory Occupational Therapy LLC
• Fortner Surgical Assisting P.C.
• Shenque L Foster, AUD
• Art Eugene Fowler, MS, LPC, CSAT, CAMT
• Daniel Fowler
• James Michael Fowler, MS, LPC, NCC, BCPCC
• John P. Fox, D.D.S.

• Acute Care Nurse Practitioner in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Acute Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.