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

Mrs. Tasia Fortune, PA

Individual provider Physician Assistant · NPI 1861048787

Mrs. Tasia Fortune, PA is a Physician Assistant in Roswell, Georgia. Qualified in 2020, 6 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia and South Carolina.

Years since qualifying
6
Licensed in
GA, SC
In the registry since
2019
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

4500 Hospital Blvd Ste 320
Roswell, GA 30076-0001
Phone: (770) 410-4520
Fax: (770) 410-4525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 S Main St, Boiling Springs, NC 28017-9797 — (704) 406-2369
  • 8 Richland Medical Park Dr Ste 300, Columbia, SC 29203-8008 — (803) 434-3800

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11303 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 3607 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861048787
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESFebruary 20, 2023
Certification dateFebruary 20, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Roswell