Individual provider Active NPI

Esther W. Fortingo

  • Family Nurse Practitioner
  • Chamblee, GA
National Provider Identifier
1609256874
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN184609 Issued in GA
Practice address
5764 Peachtree Industrial Blvd
Chamblee, GA 30341-1908
Phone
(866) 389-2727
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN184609 GA Primary

Addresses

Primary practice location

5764 Peachtree Industrial Blvd
Chamblee, GA 30341-1908

Mailing address

5764 Peachtree Industrial Blvd
Chamblee, GA 30341-1908

Other practice location 1

301 Saint Simons Cv
Lawrenceville, GA 30044-5272
Phone (678) 910-9314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180717002028 GA Practitioner - Nurse Practitioner 5698022028 Reassigns benefits to 1 organization
I20251222002231 KY Practitioner - Nurse Practitioner 5698022028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Saint Simons CV
Lawrenceville, GA 30044-5272

424 Church St
Nashville, TN 37219-2301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN184609GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609256874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5764 PEACHTREE INDUSTRIAL BLVD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303411908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5764 PEACHTREE INDUSTRIAL BLVD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303411908",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Saint Simons Cv",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300445272",
            "country_code": "US",
            "telephone_number": "678-910-9314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORTINGO",
        "first_name": "ESTHER",
        "middle_name": "W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN184609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

Verify at the official NPI Registry.