Troy Reed Fortin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIRO005857 Issued in GA

Practice address

6000 Medlock Bridge Pkwy
Suite C-300
Johns Creek, GA 30022-8172

Phone

(770) 476-9626

Fax

(770) 476-1310

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Chiropractic

Education

Lincoln Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fortin Family Chiropractic and Sports Health, Inc.

  • Chiropractor
  • Johns Creek, GA
  • NPI 1487842910
  Medicare reassignment NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1316001985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 MEDLOCK BRIDGE PKWY",
            "address_2": "SUITE C-300",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228172",
            "telephone_number": "770-476-9626",
            "fax_number": "770-476-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 MEDLOCK BRIDGE PKWY",
            "address_2": "SUITE C-300",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300228172",
            "telephone_number": "770-476-9626",
            "fax_number": "770-476-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTIN",
        "first_name": "TROY",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "GA",
            "license": "005857",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "GA",
            "license": "005857",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO005857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001296",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Flux Med LLC
• Sean M Foley, MD
• James G Forester, DDS
• Jasmine Marchele Forrest
• Fortin Family Chiropractic and Sports Health, Inc.
• Kelly Foss
• Fourth Wall Testing LLC
• Constance Francis-Agalaba
• Macy Ellen Frazier, OD
• Emily French, PT, DPT

• Chiropractor in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; 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.