Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fort Health Medical Group PA

Organization Child & Adolescent Psychiatry Physician · NPI 1114766284

Fort Health Medical Group PA is a Child & Adolescent Psychiatry Physician in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

212 S Tryon St Ste 100
Charlotte, NC 28281-0033
Phone: (201) 208-2616
Fax: (973) 381-5773
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X

Record details

NPI number1114766284
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Traci Crosby — Credentialing Manager · (201) 503-4815
Other names Fort Health Medical Group Of Nc
NPI enumeratedMay 20, 2024
Last updated in NPPESMay 20, 2024
Certification dateMay 20, 2024
Mailing address613 Washington Blvd # 1297, Jersey City, NJ 07310-2900

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