NPI age
19 years
Enumerated 2006-12-18
● Active
Type 1 · Individual
Kyle D Fortman, P.A.
Fortman is 1 of 1157 physician assistant providers in Atlanta and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
GA, TN
2 states
Status
Active
No deactivations on record
Last NPPES update
2019-11-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
1968 Peachtree Rd Nw
Atlanta, GA 303091281
Mailing address
1968 Peachtree Rd Nw
Atlanta, GA 303091281
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
-
Physician AssistantDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TN) | 3379860 | |
| 05 (TN) | 3662061 | |
| 01 (TN) | 4075854 | BCBS TN |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 537 other active providers share this practice address in NPPES.
Recently enumerated nearby: 46 new physician assistant providers have been added in Atlanta in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 4616 Physician Assistant providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
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.