P Praxis·MD
● Active Type 1 · Individual

MRS. Ebone Monique Fortenberry

Community Health Worker·Rome, GA· NPI 1609228352 · Enumerated 2016 · 9 years on NPI
Fortenberry is 1 of 6 community health worker providers in Rome and 1 of 522 in Georgia.
NPI age
9 years
Enumerated 2016-07-06
Primary specialty
Community Health Worker
Licensed in
0 states
Status
Active
No deactivations on record
Last NPPES update
2016-07-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 522 active community health worker providers in Georgia.

NPI age
9 years
≈ at median (10 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
0
6% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-07Enumerated in NPPES
2016 2026

Where they practice

Practice location
169 Walenda Dr Nw
Rome, GA 301659730
📞 7063149294fax 7063149295
Mailing address
169 Walenda Dr Nw
Rome, GA 301659730
📞 7063149294fax 7063149295

Specialties

  • Community Health Worker Primary
    Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language,...
    taxonomy 172V00000X

Practice context

Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.

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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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