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NPI Code Detail

MEDICARE: MS. SHARONDA RENEE FORTE NP-C

MEDICARE:  MS. SHARONDA RENEE FORTE  NP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XS0117XOrthopaedic Surgery of the Spine PhysicianF04180236GA
2261QP2300XPrimary Care Clinic/Center2040478KY
3363L00000XNurse Practitioner0001176CO
4363L00000XNurse PractitionerRN261865GA
5363L00000XNurse Practitioner11015245FL
6363LF0000XFamily Nurse Practitioner0024184041VA
7363LF0000XFamily Nurse PractitionerRN261865GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811134133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHARONDA RENEE FORTE NP-C
Provider Business Mailing Address
First Line : 865 N HIGHLAND AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4565
Country : US
Telephone Number : 866-389-2727
Fax Number :
Provider Business Practice Location Address
First Line : 865 N HIGHLAND AVE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-4565
Country : US
Telephone Number : 866-389-2727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2009
Last Update Date : 06/24/2025

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