DR. GREGORY LAMAR FORTNER (NPI# 1326240904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326240904 |
| Entity Type | Individual |
| Full Name | DR. GREGORY LAMAR FORTNER |
| Credential | M.D. |
| Practice Address |
222s Main St Reidsville GA 30453-4602 |
| Practice Telephone | 9123941002 |
| Mailing Telephone | 9123941002 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2015-12-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 032733 | GA | Allopathic & Osteopathic Physicians |
| N | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
032733 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
222S MAIN ST |
| City | REIDSVILLE |
| State | GA |
| Zip Code | 30453-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1548750110 | Benjamin Addril Clark | Pharmacist | Se Regional Pharmacy Attn: Ben Clark, 300 First Avenue South, Reidsville, GA 30453 | 2018-05-18 |
| 1770824351 | Elite Care Dme,llc | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2013-03-07 |
| 1003154766 | Rebekah Hollis Parker | Occupational Therapist | 247 A South Main Street, Reidsville, GA 30453 | 2013-01-30 |
| 1629359419 | D. Wilson Inc. | Durable Medical Equipment & Medical Supplies | 121 South Main Street Unit A, Reidsville, GA 30453 | 2011-09-07 |
| 1417278029 | Tattnall Community Ems | Ambulance | 194 John O Parker Dr., Reidsville, GA 30453 | 2010-06-17 |
| 1518122563 | Brenda Marie Black | Licensed Practical Nurse | 150 Memorial Drive, 150 Memorial Drive, Reidsville, GA 30453 | 2008-07-18 |
| 1063694404 | Ihori Kameyama | Counselor | 150 Memorial Dr., Reidsville, GA 30453 | 2007-11-28 |
| 1710947403 | Donald Franklin Kennedy Jr. | Specialist | 131 Memorial Drive, Reidsville, GA 30453 | 2006-03-25 |
| 1801438676 | Olive Care Durable Medical & Supplies, LLC. | Durable Medical Equipment & Medical Supplies | 123 S. Main St., Reidsville, GA 30453 | 2019-10-14 |
| Find all providers in zip 30453 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285893818 | Tattnall Hospital Company, LLC | Family Medicine | 125 Memorial Drive, Reidsville, GA 30453-4605 | 2008-06-09 |
| 1669563839 | Richard M Dondiego | Family Medicine | 829 S Scales St, Reidsville, NC 27320-5331 | 2006-09-27 |
| 1902888092 | Mark S Cresenzo | Family Medicine | 192 Cresenzo Rd, Reidsville, NC 27320-9356 | 2005-11-15 |
| 1629073176 | William Stephen Luking | Family Medicine | 520 Maple Ave, Ste B, Reidsville, NC 27320-4600 | 2005-06-20 |
| 1043703804 | Moses Cone Physician Services, Inc. | Family Medicine | 1107 S Main St, Reidsville, NC 27320-5313 | 2018-06-07 |
| 1710350863 | Fortner Medical Clinic, LLC | Family Medicine | 222 S Main St, Reidsville, GA 30453-4602 | 2015-11-10 |
| 1053603001 | Moses Cone Affiliated Physicians, Inc | Family Medicine | 520 Maple Ave, Suite B, Reidsville, NC 27320-4652 | 2011-05-10 |
| 1982868865 | Junell Carol Koberlein | Family Medicine | 1818 Richardson Dr, Ste. A, Reidsville, NC 27320-5451 | 2008-07-10 |
| 1558582353 | Frances E. Dechurch & Associates, Pllc | Family Medicine | 829 S Scales St, Reidsville, NC 27320-5331 | 2007-05-01 |
| 1003969874 | Stephen Dana Knowlton | Family Medicine | 601 W Harrison St, Reidsville, NC 27320-4621 | 2007-01-18 |
| Find all providers in REIDSVILLE | ||||
| City | REIDSVILLE |
| Zip Code | 30453 |
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| 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.