CHARLIE FORTIN-LEUNG (MD) – Hospitalist Physician, NPI 1871015065

CHARLIE FORTIN-LEUNG (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in INTERNAL MEDICINE, HOSPITALIST. They hold the professional credentials MD. They hold a License No. MD483768 (PA). The NPI Number for CHARLIE FORTIN-LEUNG (MD) is 1871015065

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
CHARLIE FORTIN-LEUNG (MD)
NPI
1871015065
Phone
(404) 778-7777
Address
49 JESSE HILL JR DR SE
Enumeration Date
10 July 2017
Last Update Date
31 October 2024

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2156624000
Graduation Year
2020 (6 years ago)
PAC ID
7416371240
Group Practice PAC ID
6204730955
Professional Enrollment ID
I20240624004129
Address ID
PA191044238PH3400XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,409 INTERNAL MEDICINE in GA

Provider Addresses for CHARLIE FORTIN-LEUNG (MD)

  • 49 JESSE HILL JR DR SE

    ATLANTA, GA 303033049

    Phone: (404) 778-7777

    Type: Location

  • 1059 ABINGTON CT

    BROOKHAVEN, GA 303191129

    Phone: (404) 234-1983

    Type: Mailing

  • 3400 SPRUCE ST

    PHILADELPHIA, PA 19104

    Phone: (215) 662-4000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230515000664IInternal MedicineGATBD
I20240624004129IHospitalistPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30303)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204730955View full group profile
NameSpecialtyState
-PA
Pulmonary DiseasePA
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseasePA
Nurse PractitionerPA
-PA
-PA
Emergency MedicinePA
Nurse PractitionerPA
O B S T E T R I C S/ G Y N E C O L O G YPA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What federal number belongs to CHARLIE FORTIN-LEUNG (MD)?
The federal identifier for CHARLIE FORTIN-LEUNG (MD) is NPI 1871015065.
Is CHARLIE FORTIN-LEUNG (MD) active in the national directory?
CHARLIE FORTIN-LEUNG (MD)'s public NPI profile is in an active state.
Does CHARLIE FORTIN-LEUNG (MD) list a primary specialty?
If you are matching referrals, note Hospitalist Physician for CHARLIE FORTIN-LEUNG (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHARLIE FORTIN-LEUNG (MD)?
The page summarizes Atlanta, Georgia for CHARLIE FORTIN-LEUNG (MD); expand the address list for detail.
How can I contact CHARLIE FORTIN-LEUNG (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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