Keith Wesley Fort, PA-C
NPI 1487888061ActiveIndividual· Physician Assistant· Jonesboro, GA
Physician Assistant (PA-C) with Physiotherapy Associates Inc and 1 other group, practicing in Jonesboro, Georgia. Their prescriptions cost Medicare Part D more than their services did: $4,004 for 311 claims, against $1,284 paid for services in 2024.
Overview
| NPI | 1487888061 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 11, 2009 |
| Last updated in NPPES | Jan 10, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 006400 | GA |
| Physician Assistant | 363A00000X | 6400 | GA |
| Physician Assistant, Surgical | 363AS0400X | 25MP00214500 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (GA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 26 |
|---|---|
| Services billed | 792 across 9 procedure codes |
| Paid by Medicare | $1,284 |
Part D prescriptions in 2024
| Prescriptions (claims) | 311 · 329 30-day fills |
|---|---|
| Patients | 169 |
| Total drug cost | $4,004 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Physiotherapy Associates IncMemphis, TN · 1,460 clinicians
- The Southeast Permanente Medical GroupJonesboro, GA · 812 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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