NPI age
4 years
Enumerated 2021-06-03
● Active
Type 1 · Individual
MR. Jason Fordyce, PMHNP-BC
Fordyce is 1 of 27 nurse practitioner providers in Villa Rica and 1 of 1622 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1622 active nurse practitioner providers in Georgia.
NPI age
4 years
≈ at median (4 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties
NPI lifetime · 2021 → 2026
2021-06Enumerated in NPPES
2021
2026
Where they practice
Practice location
307 Old Stone Rd
Villa Rica, GA 301801214
Mailing address
307 Old Stone Rd
Villa Rica, GA 301801214
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.