Active NPI
Jennifer Flamm Fortner, M.D.
- Psychiatry Physician
- Atlanta, GA
National Provider Identifier
1821133737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 054718
- Practice address
- 2295 Parklake Drive NW
Suite 430
Atlanta, GA 30345 - Phone
- (404) 800-5680
- Fax
- (678) 712-7875
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 054718 | GA | Primary |
Addresses
Primary practice location
2295 Parklake Drive NW
Suite 430
Atlanta, GA 30345
Mailing address
3435 Bulloch Lake Rd
Loganville, GA 30052-8648
Phone (404) 791-5840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 21, 2016 through Jan 21, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054718 | GA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Institute of Technology | Past | Accepting new patients |
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.
-
- Student Health Clinic/Center
- Atlanta, GA
- NPI 1396873527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765756800000",
"number": "1821133737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 BULLOCH LAKE RD",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300528648",
"telephone_number": "404-791-5840",
"fax_number": "404-385-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2295 PARKLAKE DRIVE NW",
"address_2": "SUITE 430",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30345",
"telephone_number": "404-800-5680",
"fax_number": "678-712-7875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTNER",
"first_name": "JENNIFER",
"middle_name": "FLAMM",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "054718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.