Fortin Family Chiropractic and Sports Health, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

005857 Issued in GA

Legal business name

FORTIN FAMILY CHIROPRACTIC AND SPORTS HEALTH, INC.

Practice address

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

Phone

(770) 476-9626

Fax

(770) 476-1310

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Miss Patricia P. Fisher

Title

Office Manager

Phone

(770) 476-9626

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Troy Reed Fortin, D.C.

  • Chiropractor
  • Johns Creek, GA
  • NPI 1316001985
  Medicare reassignment NPD

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1487842910",
    "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": {
        "organization_name": "FORTIN FAMILY CHIROPRACTIC AND SPORTS HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-476-9626",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "005857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FLT Family Nutrition LLC
• Flux Med LLC
• Sean M Foley, MD
• James G Forester, DDS
• Jasmine Marchele Forrest
• Troy Reed Fortin, D.C.
• Kelly Foss
• Fourth Wall Testing LLC
• Constance Francis-Agalaba
• Macy Ellen Frazier, OD

• 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 Feb 26, 2008; 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.