James K. Fortson, M.D., P.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

043205 Issued in GA

Legal business name

JAMES K. FORTSON, M.D., P.C.

Doing business as

ENT of South Atlanta

Practice address

1136 Cleveland Ave
Suite 300
East Point, GA 30344-3618

Phone

(404) 768-9350

Fax

(404) 768-2530

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Pia M Berks

Title

Billing Manager

Phone

(770) 378-2449

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ENT of South Atlanta Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

ENT Associates of Atlanta2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• ENT Associates of Atlanta

  • Clinic/Center
  • East Point, GA
  • NPI 1003289786
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Fortson, MD MBA MPH FACS

  • Otolaryngology Physician
  • East Point, GA
  • NPI 1205836194
  Medicare reassignment NPD
• Lisa C Perry-Gilkes, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1811989478
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357171200000",
    "number": "1245385806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 838",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300850838",
            "telephone_number": "404-768-9350",
            "fax_number": "404-768-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 300",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-768-9350",
            "fax_number": "404-768-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K. FORTSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2013-01-03",
        "status": "A",
        "authorized_official_last_name": "BERKS",
        "authorized_official_first_name": "PIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-378-2449"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "043205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000738603J",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT of South Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charmeka Jackson
• Danielle Nicole Jackson, O.D.
• Kendall Jackson, SLP
• Stephen Jackson, M.D.
• Tiffany Jackson, LMSW
• James M Freemont Sr MD Mha PC
• James M. Freemont, MD, PC
• Tabitha Rebecca James, NP
• Janaye Arlivia Jasper, CCC-SLP
• Travis K Jasper, MD

• Otolaryngology Physician in East Point, GA
• Providers in East Point, GA by specialty
• Otolaryngology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.