Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Nichole Susanna Fortin, PA

Individual provider Physician Assistant · NPI 1558668210

Nichole Susanna Fortin, PA is a Physician Assistant in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2011.

Licensed in
SC
In the registry since
2011
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

701 Grove Rd Fl 5
Greenville, SC 29605-4210 Not confirmed with CMS for 11 years — call before visiting
Phone: (864) 455-4411
Fax: (864) 455-4480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2267 (SC)

Record details

NPI number1558668210
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 16, 2011
Last updated in NPPESApril 24, 2015

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients238
Services billed 274 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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