MARJORIE ANN FANNON APRN
NPI 1053325969
Nurse Practitioner - Pediatrics in Atlanta, GA

Q: What is Marjorie Fannon's NPI number?

The NPI number for Marjorie Fannon is 1053325969. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Q: What is Marjorie Fannon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Marjorie Fannon was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 28, 2006PECOS Enrolled

1001 JOHNSON FERRY RD NE, ATLANTA, GA 30342(404) 785-2273 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Marjorie Ann Fannon Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARJORIE ANN FANNON APRN (NPI 1053325969) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN048537 NP) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053325969

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARJORIE ANN FANNONCredential: APRN

Location Address1001 JOHNSON FERRY RD NEAtlanta, GA 30342-1605

Mailing Address5183 Indian CirGainesville, GA 30506-3173

Phone(404) 785-2273

Sole ProprietorNo

Enumeration DateJuly 28, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053325969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in GA · RN048537 NP

1001 JOHNSON FERRY RD NE, Atlanta, GA 30342

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marjorie Ann Fannon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANY KATHRYN SUCHANEK CPNP

Nurse Practitioner (Pediatrics)