Dr. Troy Reed Fortin, D.C.
Chiropractor in Johns Creek, GA. Individual provider (NPI-1).
NPI number1316001985
StatusActive
Last updated in NPPESAug 23, 2016
Details
- NPI
- 1316001985
- Entity type
- Individual (NPI-1)
- Name
- Dr. Troy Reed Fortin
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 20, 2006
- Last updated
- Aug 23, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIRO005857 | GA | Yes |
| 111NR0200X | Chiropractor, Radiology | 005857 | GA | |
| 111NS0005X | Chiropractor, Sports Physician | 005857 | GA |
Practice location
6000 Medlock Bridge PkwySuite C-300
Johns Creek, GA 30022-8172
Phone 770-476-9626 · Fax 770-476-1310
Mailing address
6000 Medlock Bridge PkwySuite C-300
Johns Creek, GA 30022-8172
Phone 770-476-9626 · Fax 770-476-1310
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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