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

Mrs. Emily Daffron Fortenberry, NP

Individual provider Nurse Practitioner · NPI 1871069096

Mrs. Emily Daffron Fortenberry, NP is a Nurse Practitioner in Talladega, Alabama. Qualified in 2018, 8 years ago. Practices with Southern Immediate Care, LLC, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama, Georgia and Texas.

Years since qualifying
8
Licensed in
AL, GA, TX
In the registry since
2018
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

604 Stone Ave
Talladega, AL 35160-2217
Phone: (256) 458-2155
Show map & directions

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

Additional practice locations (1)

  • 1007 Goodyear Ave, Gadsden, AL 35903-1195 — (256) 494-4775

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1-125066 (AL)
Nurse Practitioner Taxonomy 363L00000X · Licence 1206590 (TX)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence GAA-NP004269 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 1-125066 (AL)

Record details

NPI number1871069096
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 15, 2018
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern Immediate Care, Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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