KANEY JERVELLE FEDOVSKIY M.D.
NPI 1114091469
Psychiatry & Neurology - Psychiatry in Atlanta, GA

Q: What is Kaney Fedovskiy's NPI number?

The NPI number for Kaney Fedovskiy is 1114091469. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Kaney Jervelle Crump M.D..

Q: What is Kaney Fedovskiy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Kaney Fedovskiy 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 November 20, 2006PECOS EnrolledAccepts Medicare Assignment

80 JESSE HILL JR DR SE, #26024, ATLANTA, GA 30303(404) 616-6689(404) 616-0207 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kaney Jervelle Fedovskiy M.d. NPPES

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

KANEY JERVELLE FEDOVSKIY M.D. (NPI 1114091469) is an individual psychiatry provider in Atlanta, Georgia, licensed in Georgia (054710) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1114091469

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKANEY JERVELLE FEDOVSKIYCredential: M.D.

Location Address80 JESSE HILL JR DR SE, #26024Atlanta, GA 30303-3031

Mailing Address170 Boulevard Se, Apt #e122Atlanta, GA 30312-2325 · (404) 441-0477

Phone(404) 616-6689

Fax(404) 616-0207

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1114091469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in GA · 054710✔ Licensed in CA · A97005

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

80 JESSE HILL JR DR SE, Atlanta, GA 30303

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Other Names 1

Former Name (1)Kaney Jervelle Crump M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaney Jervelle Fedovskiy M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406956333

PECOS Enrollment IDI20260526001371

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 30303 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

$172.43 typical visit price

range $56.84 – $172.43

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

Most-billed visit code 99205

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

Most-billed visit code 99213

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.

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