MADELEINE FORTIN (NPI# 1518067636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518067636 |
| Entity Type | Individual |
| Full Name | MADELEINE FORTIN |
| Practice Address |
20 Glenlake Pkwy Ne Atlanta GA 30328-3473 |
| Mailing Address |
3495 Piedmont Rd Ne Building Nine Atlanta GA 30305-1773 |
| Practice Telephone | 7706776085 |
| Mailing Telephone | 4043647000 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
55433 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
20 GLENLAKE PKWY NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-3473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457319568 | April Michelle Liverman | Physician Assistant | 20 Glenlake Pkwy Ne, Dept of Breast Surgery, Atlanta, GA 30328-3473 | 2006-05-01 |
| 1184911760 | Anuj Ashwin Patel | Pharmacist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2011-07-05 |
| 1194039115 | Sherry-ann Renee Marshall | Pharmacist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2010-08-02 |
| 1205152881 | Barry Michael Mason | Urology | 20 Glenlake Pkwy Ne, Urology Department, Atlanta, GA 30328-3473 | 2010-04-08 |
| 1184888497 | John Douglas Edwards Jr. | Radiologic Technologist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2008-07-16 |
| 1225291859 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2008-07-03 |
| 1164692554 | Brian Jaehoon Chung | Otolaryngology | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2008-03-03 |
| 1043400930 | Shahidur Rahman | Pediatrics | 20 Glenlake Pkwy Ne, Glenlake Medical Center, Atlanta, GA 30328-3473 | 2007-07-27 |
| 1831305820 | Vanessa Etheridge Smith | Pharmacist | 20 Glenlake Pkwy Ne, Atlanta, GA 30328-3473 | 2007-05-15 |
| 1669540043 | Jennifer Plunkett | Surgery | 20 Glenlake Pkwy Ne, Department of Surgery, Atlanta, GA 30328-3473 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972021301 | Docpecox, LLC | Family Medicine | 755 Mount Vernon Hwy Ne Ste 350, Atlanta, GA 30328-4291 | 2017-09-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| 1891190997 | Patricia Moody | Family Medicine | 564 Ridgecrest Rd Ne, Atlanta, GA 30307-1846 | 2014-10-31 |
| 1639177066 | Jean Joseph Philippe | Family Medicine | 5825 Glenridge Dr Ne, Bldg 2 Ste 120, Atlanta, GA 30328-5387 | 2005-07-11 |
| 1609874023 | Courtney D Shelton | Family Medicine | 315 Boulevard Ne, Suite 310, Atlanta, GA 30312-1200 | 2005-07-10 |
| 1952957052 | Sandhya Gupta | Family Medicine | 901 Rice St Nw, Atlanta, GA 30318-4938 | 2019-08-14 |
| 1376989517 | Jjp Internal Medicine Group LLC | Family Medicine | 5825 Glenridge Dr Ne, Bldg 2 Suite 120, Atlanta, GA 30328-5387 | 2013-05-15 |
| 1164563557 | Michelle Evans, PC | Family Medicine | 35 Collier Rd Nw Ste 185, Atlanta, GA 30309-1671 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464250 | Leah Reed | Family Medicine | 2082 Cherokee Farms Cv, Buford, GA 30519-7004 | 2020-07-08 |
| 1083240766 | Carehere LLC | Family Medicine | 114 N Jackson St, Albany, GA 31701-2583 | 2020-03-13 |
| 1518590744 | Octavia Raquel Holloway-freeman | Family Medicine | 301 Denmark St, Statesboro, GA 30458-5208 | 2020-02-17 |
| 1891331575 | Jenna Barnes | Family Medicine | 1107 Memorial Dr Ste 300, Dalton, GA 30720-8664 | 2019-11-18 |
| 1023651205 | Carehere LLC | Family Medicine | 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 | 2019-10-21 |
| 1003385733 | James G Hamilton Jr Md LLC | Family Medicine | 4898 Highway 197, Mount Airy, GA 30563-2442 | 2018-11-26 |
| 1780161323 | Personal Wellness Inc. | Family Medicine | 625 Boxwood Ter, Johns Creek, GA 30005-7217 | 2018-07-26 |
| 1073005138 | Lake Oconee Wellness Associates LLC | Family Medicine | 1097 Lake Oconee Pkwy Ste 201, Eatonton, GA 31024-9510 | 2018-06-05 |
| 1376034983 | Lee Pennington Mcnichols | Family Medicine | 2300 Bethelview Rd Ste 110-332, Cumming, GA 30040-9475 | 2018-05-21 |
| 1619493939 | Unicare Family Practice | Family Medicine | 4439 Austell Rd, Austell, GA 30106-1839 | 2017-08-17 |
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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.