P Praxis·MD
● Active Type 1 · Individual

Shaw Wendi Fortuchang, M.D.

Psychiatry & Neurology·Fayetteville, GA· NPI 1205952231 · Enumerated 2007 · 19 years on NPI
Fortuchang is 1 of 9 psychiatry & neurology providers in Fayetteville and 1 of 1678 in Georgia.
NPI age
19 years
Enumerated 2007-03-21
Primary specialty
Psychiatry & Neurology
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-08-18
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1678 active psychiatry & neurology providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
2
In the 30% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Practice location
110 N Park Dr
Fayetteville, GA 302141645
📞 7703766726fax 7703766727
Mailing address
110 N Park Dr
Fayetteville, GA 302141645
📞 7703766726fax 7703766727

Specialties

  • Psychiatry & Neurology Primary
    A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders...
    GA license #66108 taxonomy 2084P0800X
  • Psychiatry & Neurology
    Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails,...
    GA license #66108 taxonomy 2084F0202X
  • Psychiatry & Neurology
    Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
    GA license #66108 taxonomy 2084P0804X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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