Emily Daffron Fortenberry, NP
Individual provider Active NPI Gerontology Nurse Practitioner · Talladega, AL
NPI 1871069096 · NPPES record last updated Mar 23, 2026
Key facts
- NPI
- 1871069096
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 1-125066 (AL)
- Practice address
- 604 Stone Ave
Talladega, AL 35160-2217 - Phone
- (256) 458-2155
- NPI assigned
- Oct 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 15
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Immediate Care, LLC
Hospitalist Medicine Physicians of Texas - Burnet PLLC
Hospitalist Medicine Physicians of Texas PLLC
Paragon Contracting Services LLC
Hospital Medicine Associates LLC
Practice addresses (Care Compare)
4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273
5016 S US Hwy 75
Texoma Medical Center
Denison, TX 75020-4584
Phone (903) 416-4000
800 W Randol Mill Rd
Texas Health Arlington Memorial Hos
Arlington, TX 76012-2504
Phone (817) 960-6100
810 Saint Vincents Dr
Birmingham, AL 35205-1601
Phone (205) 939-7100
Hospital & facility affiliations
- Texas Health Huguley Hospital Fort Worth South
- Northeast Alabama Regional Medical Center
- St. Vincent'S East
- Texoma Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in AL, TX, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181205001380 | AL | Practitioner - Nurse Practitioner | 0244574028 | Reassigns benefits to 8 organizations |
| I20250902000128 | TX | Practitioner - Nurse Practitioner | 0244574028 | Reassigns benefits to 2 organizations |
| I20260409001554 | GA | Practitioner - Nurse Practitioner | 0244574028 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-125066 | AL | MD | Nurse Practitioner |
| 1206590 | TX | MD | Nurse Practitioner |
| GAA-NP004269 | GA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Emergency Physician Partners, LLC | Nurse Practitioner | Current | Accepting new patients |
| Alabama Emergency Physician Partners, LLC | Current |
Accepting new patients | |
| Southern Immediate Care, LLC | Current |
Accepting new patients | |
| Gadsden Regional Physician Group Practice LLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Nurse Practitioner | Current |
Accepting new patients |
| Alabama Physicians Group LLC | Current |
Accepting new patients | |
| Paragon Contracting Services LLC | Nurse Practitioner | Current |
Accepting new patients |
| App of Alabama Ed PLLC | Current |
Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Gadsden Regional Medical Center LLC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Texas - Burnet PLLC | Current |
Accepting new patients | |
| Gadsden Regional Medical Center LLC | Current |
Accepting new patients | |
| Hospital Medicine Associates LLC | Nurse Practitioner | Current |
Accepting new patients |
| Gadsden HB Medical Services LLC | Nurse Practitioner | Current |
Accepting new patients |
Locations (25 of 28)
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
4100 McClellan Blvd
Anniston, AL 36201
Phone (256) 235-2273
324 E 19th St
#201
Anniston, AL 36207
Phone (205) 409-2794
4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280
50 Medical Park Dr E
Birmingham, AL 35235
Phone (205) 838-3000
810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456
104 Chelsea Point Dr
Chelsea, AL 35043
Phone (205) 453-7550
2030 Lay Dam Rd
Clanton, AL 35045
Phone (205) 258-4400
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
820 W Washington St
Eufaula, AL 36027
Phone (334) 687-5761
200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200
2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930
3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683
1015 Medical Center Pkwy
Selma, AL 36701
Phone (334) 418-4100
604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100
3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
Interoperability endpoints
- https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
- https://api.platform.athenahealth.com/17814/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1206590 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | 1-125066 | AL | Yes |
| Acute Care Nurse Practitioner | 363LA2100X | GAA-NP004269 | GA | |
| Nurse Practitioner | 363L00000X | 1-125066 | AL |
Addresses
Primary practice location
604 Stone Ave
Talladega, AL 35160-2217
Mailing address
3657 Hall Dr
Southside, AL 35907-0817
Phone (256) 458-2155
Other practice location 1
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4775
Other providers in Talladega, AL
- Express Pharmacy LLC
- Lera Dianna Marcelle Farmer
- Whitney Faunce
- Eleanor D Fisher
- Kaimana Fisher
- Heather Foster
- Shalonda D Gaddis
- Gadsden Limb & Brace, Inc.
- Rosanne Gallahar
- Gissendaner Family Dentistry
All providers in Talladega, AL · Gerontology Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.