Caitlin Forkin

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017242 Issued in GA

Practice address

3001 Mercer University Drive
Davis BLDG, Suite 106
Atlanta, GA 30341

Phone

(678) 547-6439

Fax

(678) 547-6710

NPI assigned

Aug 5, 2024

Last updated

Aug 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Corporation of Mercer UniversityGroup PAC ID 7618968066, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Corporation of Mercer University

  dba Mercer Medicine

  • Family Medicine Physician
  • Macon, GA
  • NPI 1174693162
  Medicare reassignment Care Compare group NPD
• Mercer Physical Therapy

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1477861904
  NPD
• The Corporation of Mercer University

  dba Mercer University Center for IDD Care

  • Multi-Specialty Clinic/Center
  • Macon, GA
  • NPI 1841171998
  NPD

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1295565307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 MERCER UNIVERSITY DRIVE",
            "address_2": "DAVIS BLDG, SUITE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "678-547-6439",
            "fax_number": "678-547-6710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 MERCER UNIVERSITY DRIVE",
            "address_2": "DAVIS BLDG, SUITE 106",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "678-547-6439",
            "fax_number": "678-547-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKIN",
        "first_name": "CAITLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakya Forestal
• Nikolas Philip Foresteire, DO
• Forever First Personal Care Home
• Forever Young Trucking LLC
• Sara Ellen Forhan, MD
• Anna Forman, NP-C
• Ashley Erinn Forman, PMHNP
• Errol Forman, D.M.D.
• Alfred Fornah, CSCM
• Virginia Rutledge Forney, M.D.

• Physical Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.