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

Anthony Lee Fortin, MD

Individual provider Diagnostic Radiology Physician · NPI 1437680899

Anthony Lee Fortin, MD is a Diagnostic Radiology in Jackson, Mississippi. Qualified in 2017, 9 years ago. Practices with Field Memorial Community Hospital, a 40-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
9
Licensed in
MS
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2500 N State St Radiology
Jackson, MS 39216-4500
Phone: (601) 984-2500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 415 S 28th Ave, Hattiesburg, MS 39401-7246 — (601) 264-6000
  • 15 Professional Pkwy Ste 126, Hattiesburg, MS 39402-2647 — (601) 450-0521

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 26214 (MS)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence T-3337 (MS)

Record details

NPI number1437680899
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2017
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Field Memorial Community Hospital — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Jackson