NPIMap

Individual provider Active NPI

Nicole Emiline Forsythe, M.D

  • Student in an Organized Health Care Education/Training Program
  • Atlanta, GA
National Provider Identifier
1851602494
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
72260 Issued in GA
Practice address
Barbour Orthopedics and Sports Medicine
3240 Northeast Expressway Suite 100
Atlanta, GA 30341
Phone
(404) 480-9330
Fax
(404) 480-9330
NPI assigned
Jun 29, 2010
Last updated
Apr 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 165785 NC
Student in an Organized Health Care Education/Training Program 390200000X 72260 GA Primary
Specialist 174400000X 72260 GA

Addresses

Primary practice location

Barbour Orthopedics and Sports Medicine
3240 Northeast Expressway Suite 100
Atlanta, GA 30341

Mailing address

675 Crosswinds Circle
Marietta, GA 30008
Phone (423) 580-4743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72260GAMDStudent in an Organized Health Care Education/Training Program
165785NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Barbour Orthopaedics & Sports Medicine PC Past Accepting new patients
Barbour Orthopaedics & Sports Medicine PC Past Accepting new patients
Barbour Orthopaedics & Sports Medicine PC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1851602494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 CROSSWINDS CIRCLE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30008",
            "telephone_number": "423-580-4743",
            "fax_number": "770-455-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BARBOUR ORTHOPEDICS AND SPORTS MEDICINE",
            "address_2": "3240 NORTHEAST EXPRESSWAY SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "404-480-9330",
            "fax_number": "404-480-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORSYTHE",
        "first_name": "NICOLE",
        "middle_name": "EMILINE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "165785",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "72260",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "72260",
            "primary": false
        }
    ],
    "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 Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.