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MR. JUSTIN MARCUS FENDER R-NP
NPI 1164772372
Nurse Practitioner - Family in Douglas, GA

Active since September 14, 2012PECOS Enrolled
78.41/100
CMS Quality Rating
1400 PETERSON AVE N, SUITE C, DOUGLAS, GA 31533(912) 384-4000(912) 384-4029 Get Directions Write a Review

NPPES record last updated: December 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Justin Marcus Fender R-np NPPES

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

MR. JUSTIN MARCUS FENDER R-NP (NPI 1164772372) is an individual family provider in Douglas, Georgia, licensed in Georgia (RN 194077) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164772372
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JUSTIN MARCUS FENDERCredential: R-NP
Location Address1400 PETERSON AVE N, SUITE CDouglas, GA 31533-2832
Mailing Address102 Nw Bowens Mill RoadDouglas, GA 31533-2252 · (912) 384-3838 · Fax (912) 384-4029
Phone(912) 384-4000
Fax(912) 384-4029
Sole ProprietorNo
Enumeration DateSeptember 14, 2012
Last NPPES UpdateDecember 2, 2016
✔ NPI 1164772372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN 194077
1400 PETERSON AVE N, Douglas, GA 31533
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Other Identifiers 2

Medicaid003128519FGA
Medicare PIN202I505097GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 (PECOS)

Mr. Justin Marcus Fender R-np 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
86 services85 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
64 services59 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31533 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

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 Justin Fender's NPI number?

The NPI number for Justin Fender is 1164772372. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Justin Fender located?

Justin Fender practices at 1400 Peterson Ave N Suite C, Douglas, GA 31533. The listed phone number is (912) 384-4000.

What is Justin Fender's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Justin Fender enrolled in Medicare?

Yes. Justin Fender is registered in the Medicare PECOS enrollment system.

What insurance does Justin Fender accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Justin Fender as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Justin Fender was last updated on December 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.