MRS. APRIL JILES FORTENBERRY (NPI# 1295134492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295134492 |
| Entity Type | Individual |
| Full Name | MRS. APRIL JILES FORTENBERRY |
| Credential | PNP-PC |
| Practice Address |
101 Quartz Dr Ste 103 Villa Rica GA 30180-3255 |
| Mailing Address |
706 Dixie St Ste 220 Carrollton GA 30117-3889 |
| Practice Telephone | 7708123530 |
| Practice Fax Number | 7708123531 |
| Mailing Telephone | 7708388710 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN106665 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
RN106665 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
101 QUARTZ DR STE 103 |
| City | VILLA RICA |
| State | GA |
| Zip Code | 30180-3255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821045402 | Debora A Lamonica | Psychiatry & Neurology | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2006-05-28 |
| 1851937726 | El Janeo D Vereen | Counselor | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2019-11-25 |
| 1871140798 | John Charles Wood | Nurse Practitioner | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2019-08-26 |
| 1184180069 | Sarah Joann Matheka | Nurse Practitioner | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2019-02-15 |
| 1679097893 | Yonas Tamene | Nurse Practitioner | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2017-07-30 |
| 1053765057 | Phuongtam Nguyen | Psychiatry & Neurology | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2016-04-16 |
| 1356795462 | Tmc-behavioral Health of West Georgia | Psychiatry & Neurology | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2016-04-15 |
| 1699130500 | Tabitha Wanjiku | Nurse Practitioner | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2015-12-18 |
| 1174934384 | Avjola Hoxha | Psychiatry & Neurology | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2014-05-12 |
| 1437416286 | Ashaki Eva Warren | Psychiatry & Neurology | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174161624 | Crucible Communication Therapy LLC | Speech-Language Pathologist | 9765 Walnut Grove Trail, Villa Rica, GA 30180 | 2019-12-16 |
| 1366802845 | Medic-pearl, LLC | Ambulance | 1108 Charter Oak Ct, Villa Rica, GA 30180 | 2016-02-26 |
| 1396138368 | Josette Etienne | Nurse Practitioner | 403 Permian Way Suite A, Villa Rica, GA 30180 | 2015-03-13 |
| 1447690516 | Judith L.m. Thigpen | Nurse Practitioner | 736 Highway 78 West, Minute Clinic, Villa Rica, GA 30180 | 2013-07-03 |
| 1477890168 | Wesley Douglas Mckenzie | Pharmacist | 2500 Mirror Lake Blvd, Villa Rica, GA 30180 | 2013-01-15 |
| 1497005359 | Malika Remie Rajendra | Optometrist | 600 Hwy 61, Villa Rica, GA 30180 | 2012-09-18 |
| 1972876449 | Catherine Elaine Tyson | Pharmacist | 601 Dallas Road, Villa Rica, GA 30180 | 2012-02-14 |
| 1619262433 | Villa Rica Rx LLC | Pharmacy | 222 West Wilson Street, Villa Rica, GA 30180 | 2011-06-09 |
| 1851602874 | Jules Chopin Sybert | Nurse Practitioner | 736 W. Bankhead Hwy, Villa Rica, GA 30180 | 2010-06-24 |
| 1487984019 | Lisa Wood | Occupational Therapy Assistant | 1207 Woods Walk, Villa Rica, GA 30180 | 2010-01-04 |
| Find all providers in zip 30180 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679097893 | Yonas Tamene | Nurse Practitioner | 101 Quartz Dr Ste 103, Villa Rica, GA 30180-3255 | 2017-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
| 1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
| 1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
| 1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
| 1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
| 1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
| 1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
| 1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
| 1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
| 1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
| Find all providers with the same taxonomy | ||||
| City | VILLA RICA |
| Zip Code | 30180 |
Please comment or provide details below to improve the information on MRS. APRIL JILES FORTENBERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.