Mrs Emily Daffron Fortenberry, NP - Medicare Nurse Practitioner in Talladega, AL

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Mrs Emily Daffron Fortenberry, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Talladega, Alabama. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gadsden Regional Physician Group Practice Llc, Paragon Contracting Services Llc, Gadsden Hb Medical Services Llc, Southern Immediate Care, Llc, Hospital Medicine Associates Llc and her current practice location is 604 Stone Ave, Talladega, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 458-2155.

Mrs Emily Daffron Fortenberry is licensed to practice in Alabama (license number 1-125066) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871069096.

Contact Information

Mrs Emily Daffron Fortenberry, NP
604 Stone Ave,
Talladega, AL 35160-2217
(256) 458-2155
Not Available

Map and Direction




Provider's Profile

Full NameMrs Emily Daffron Fortenberry
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location604 Stone Ave, Talladega, Alabama
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Emily Daffron Fortenberry graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1871069096
  • Provider Enumeration Date: 10/15/2018
  • Last Update Date: 07/12/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244574028
  • Enrollment ID: I20181205001380

Medical Identifiers

Medical identifiers for Mrs Emily Daffron Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871069096NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-125066 (Alabama)Secondary
363L00000XNurse Practitioner 1206590 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology 1-125066 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northeast Alabama Regional Medical CenterAnniston, ALHospital
Gadsden Regional Medical CenterGadsden, ALHospital
St Vincent's BirminghamBirmingham, ALHospital
St. Vincent's EastBirmingham, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gadsden Regional Physician Group Practice Llc125449767046
Paragon Contracting Services Llc3971417825298
Gadsden Hb Medical Services Llc418307856127
Southern Immediate Care, Llc610311408741
Hospital Medicine Associates Llc9234156985177

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Emily Daffron Fortenberry allows following entities to bill medicare on her behalf.
Entity NameParagon Contracting Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225071459
PECOS PAC ID: 3971417825
Enrollment ID: O20050218000756
Entity NameGadsden Regional Medical Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801800784
PECOS PAC ID: 7113839036
Enrollment ID: O20050913001137
Entity NameHospital Medicine Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093758781
PECOS PAC ID: 9234156985
Enrollment ID: O20061002000335
Entity NameGadsden Regional Physician Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558506550
PECOS PAC ID: 1254497670
Enrollment ID: O20090309000585
Entity NameApp Of Alabama Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659646040
PECOS PAC ID: 3577725068
Enrollment ID: O20120430000174
Entity NameAlabama Emergency Physician Partners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891031894
PECOS PAC ID: 4082868641
Enrollment ID: O20130206000466
Entity NameHospitalists Services Of Alabama, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407286685
PECOS PAC ID: 6507099793
Enrollment ID: O20140423001021
Entity NameSouthern Immediate Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467909978
PECOS PAC ID: 6103114087
Enrollment ID: O20161010000102
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210224000756
Entity NameAlabama Physicians Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750062527
PECOS PAC ID: 2668835604
Enrollment ID: O20230824000442
Entity NameGadsden Hb Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750061610
PECOS PAC ID: 4183078561
Enrollment ID: O20231004001282

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Emily Daffron Fortenberry is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Emily Daffron Fortenberry, NP
3657 Hall Dr,
Southside, AL 35907-0817

Ph: (256) 458-2155		Mrs Emily Daffron Fortenberry, NP
604 Stone Ave,
Talladega, AL 35160-2217

Ph: (256) 458-2155

Reviews and Comments


Nurse Practitioner Nurses in Talladega, AL

Mrs. Lera Dianna Marcelle Farmer, RN,MN,CNNP,CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 722 Stone Ave, Talladega, AL 35160
Phone: 256-362-1725    
Ms. Jessica Massey, C.R.N.P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 724 Stone Ave, Talladega, AL 35160
Phone: 256-362-1410    Fax: 256-362-0186
Kristinia Danielle Amos,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 837 Battle St E, Talladega, AL 35160
Phone: 256-649-8134    
Jennifer Winters,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 604 Stone Ave, Talladega, AL 35160
Phone: 256-761-4458    
Stephanie D Varner, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 801 North St E, Talladega, AL 35160
Phone: 256-362-3005    Fax: 256-531-9443
Robin L Merkel, C.R.N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 223 Haynes St, Talladega, AL 35160
Phone: 256-362-2593    Fax: 265-362-0529
George R Barnes Jr., NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 616 Chaffee St, Talladega, AL 35160
Phone: 334-538-0505    Fax: 334-272-6191

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.