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

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: October 18, 2026.

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.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kaney Fedovskiy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

San Joaquin County Public Health Services
2,077 mi
Public Health or Welfare
1601 E HAZELTON AVE
Stockton, CA 95205
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Joaquin
  • 195 clinicians in this Medicare group
NPI 1356453831 (209) 468-8934
Telecare Mental Health Services Of Washington, Inc
2,173 mi
Mental Health (Including Community Mental Health Center)
1601 E 4TH PLAIN BLVD
Vancouver, WA 98661
  • Reassigned Medicare billing, Washington enrollment
  • 76 clinicians in this Medicare group
NPI 1699162925 (360) 397-8474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. SHANNON WALKER IKE MD
Internal Medicine (Cardiovascular Disease)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
KAYLA NIKEA HUGINE
Nurse Practitioner (Acute Care)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
EMILIA POMA
Student in an Organized Health Care Education/Training Program
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000
JAYALAKSHMI K RAO MD
Internal Medicine (Rheumatology)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 778-7717
DR. KAREN MICHELLE CURZIO PHARM.D.
Pharmacist
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5404
DR. TELSIE A. DAVIS PH.D.
Psychologist (Clinical)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (678) 612-4210
ALICIA WONG LPC
Counselor (Mental Health)
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-5317
SELENA KIM CAA
Anesthesiologist Assistant
80 JESSE HILL JR DR SE
ATLANTA, GA 30303
Fulton County (404) 616-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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..

Where is Kaney Fedovskiy located?

Kaney Fedovskiy practices at 80 Jesse Hill Jr Dr SE #26024, Atlanta, GA 30303. The listed phone number is (404) 616-6689.

What is Kaney Fedovskiy's specialty?

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

Is Kaney Fedovskiy enrolled in Medicare?

Yes. Kaney Fedovskiy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kaney Fedovskiy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaney Fedovskiy reassigns Medicare benefits to 2 organizations: San Joaquin County Public Health Services (Stockton, CA) and Telecare Mental Health Services Of Washington, Inc (Vancouver, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaney Fedovskiy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.