Audrey Lee Fortin, DMD
General Practice Dentistry · Jackson, MS
Audrey Lee Fortin, DMD is a general practice dentistry with a practice address in Jackson, Mississippi, and NPI 1922688001, issued on Apr 12, 2021. Check the license (Mississippi 4289-22, as entered in NPPES) with the Mississippi board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Audrey Lee Fortin
- Credential
- DMD
- Primary taxonomy
- General Practice Dentistry 1223G0001X
- License number
- 4289-22 MS
Self-reported in NPPES; status is on the state search - Practice location
- 989 Ellis Ave, Jackson, MS 39209
- Phone
- (769) 235-3919
- Enumerated
- Apr 12, 2021
- Record last updated
- Jul 7, 2022
- Entity
- Type 1 · individual
8 nearest general practice dentistry records → All 845 in Mississippi → Look up another NPI →
Also registered at 989 Ellis Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Melanie Paige-BrownGeneral Practice Dentistry1649210477
- Richard Smith, DMDGeneral Practice Dentistry1124038286
- Divija TakkalapellyOrthodontics and Dentofacial Orthopedics Dentistry1528881323
Verify Audrey Lee Fortin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license 4289-22Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $115.22
2 payments; by number, the most common kind was food and beverage; the largest payer was Zimvie Inc. The 41,669 providers of this specialty with any payment received $597.01 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Audrey Lee Fortin among 845 general practice dentistry records in Mississippi
Audrey Lee Fortin, DMD is one of 845 general practice dentistry records with a practice address in Mississippi. 70% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 84% of them.
- NPI issued2021 · 84% of these records are older, 13% newer
- In a Medicare fileYes · 70% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2022 · 74% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1223G0001X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
90 general practice dentistry records list a practice address in Jackson
They are 90 of the 6,997 NPPES records with a practice address in Jackson, and 845 general practice dentistry records in Mississippi.
All 845 in Mississippi → Every provider in Jackson → General Practice Dentistry nationwide →
The 8 general practice dentistry records with the nearest ZIP codes
- William Boteler, D.D.S., P.A.Jackson, MS 392091356403570
- James Brantley, DMDJackson, MS 392091447469622
- William Henry, DMD, PTJackson, MS 392091073692836
- Melanie Paige-BrownJackson, MS 392091649210477
- Barinder Singh, BDSJackson, MS 392091326257510
- Richard Smith, DMDJackson, MS 392091124038286
- April Stringfellow, D.D.S.Jackson, MS 392091790835494
- Jamie Carpenter, DMDPearl, MS 392081093444853
Common questions
What is Audrey Lee Fortin, DMD's NPI number?
Audrey Lee Fortin, DMD's National Provider Identifier (NPI) is 1922688001, issued on Apr 12, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Audrey Lee Fortin, DMD located?
The NPPES record lists a practice address at 989 Ellis Ave, Jackson, MS, 39209. Phone: (769) 235-3919. Providers update this record themselves, so call before visiting.
How can I verify Audrey Lee Fortin, DMD's license?
NPPES lists Mississippi license number 4289-22, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.