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

Kyle D Fortman, PA

Individual provider Physician Assistant · NPI 1598828923

Kyle D Fortman, PA is a Physician Assistant in Atlanta, Georgia. Licensed in Georgia and Tennessee. Registered with an NPI since 2006.

Licensed in
GA, TN
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone: (404) 367-3014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 009532 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 1114 (TN)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1114 (TN)

Record details

NPI number1598828923
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESNovember 18, 2019

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