FENIA J PHILEMOND NP
NPI 1386135283
Nurse Practitioner - Adult Health in Acworth, GA

Q: What is Fenia Philemond's NPI number?

The NPI number for Fenia Philemond is 1386135283. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Q: What is Fenia Philemond's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Fenia Philemond was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 25, 2018PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

3590 COBB PKWY NW STE 401, ACWORTH, GA 30101(678) 492-8230 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2024, May 25, 2018 (2 updates tracked since 2018).

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About Fenia J Philemond Np NPPES

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

FENIA J PHILEMOND NP (NPI 1386135283) is an individual adult health provider in Acworth, Georgia, licensed in Georgia (RN155547) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386135283

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameFENIA J PHILEMONDCredential: NP

Location Address3590 COBB PKWY NW STE 401Acworth, GA 30101-4016

Mailing Address101 Chase AveLakewood, NJ 08701-4760 · (212) 201-1252

Phone(678) 492-8230

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateMay 25, 2018

Last NPPES UpdateJuly 24, 20242 updates tracked since enumeration

NPPES CertifiedJuly 24, 2024

✔ NPI 1386135283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in GA · RN155547

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License RN155547 (GA)

3590 COBB PKWY NW STE 401, Acworth, GA 30101

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Insurance and more.Insurance ›

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

Fenia J Philemond Np 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 ID3476988403

PECOS Enrollment IDI20260415003309

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

Medicare enrollment records show Fenia Philemond reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Great Health Medical Ga PC

22 mi

Family Medicine

300 COLONIAL CENTER PKWY STE 100N
Roswell, GA 30076

Reassigned Medicare billing, Georgia enrollment
11 clinicians in this Medicare group

NPI 1881302305 (718) 534-0689

Multiviz Medical Services PC

752 mi

Internal Medicine

529 BEACH 20TH ST
Far Rockaway, NY 11691

Reassigned Medicare billing, Florida and Tennessee enrollments
19 clinicians in this Medicare group

NPI 1720373293 (718) 327-7307

Great Health Aftx PC

874 mi

Family Medicine

1003 COLUMBIA ST
Stamford, TX 79553

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1174384259 (212) 201-1252

Senior Doc Georgia, PC

1,895 mi

Family Medicine

2592 N SANTIAGO BLVD
Orange, CA 92867

Reassigned Medicare billing, Georgia enrollment
4 clinicians in this Medicare group

NPI 1134990682 (855) 434-7763

J M Geiss Do Apc

1,897 mi

Family Medicine

5 HUTTON CENTRE DR STE 950
Santa Ana, CA 92707

Reassigned Medicare billing, Connecticut and Georgia enrollments
6 clinicians in this Medicare group

NPI 1063825289 (855) 434-7763

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

Areas of Expertise CMS Part B claims 16

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

3,045 services817 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

905 services896 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.

379 services375 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

377 services186 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

331 services140 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

163 services75 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

141 services141 patients

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

89 services68 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

76 services20 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

67 services50 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

45 services45 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

40 services20 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

40 services20 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

39 services21 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

38 services20 patients

Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30101 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.

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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 Fenia Philemond's NPI number?

The NPI number for Fenia Philemond is 1386135283. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is Fenia Philemond located?

Fenia Philemond practices at 3590 Cobb Pkwy NW Ste 401, Acworth, GA 30101. The listed phone number is (678) 492-8230.

What is Fenia Philemond's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Fenia Philemond enrolled in Medicare?

Yes. Fenia Philemond 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 Fenia Philemond's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fenia Philemond reassigns Medicare benefits to 5 organizations: Great Health Medical Ga PC (Roswell, GA), Multiviz Medical Services PC (Far Rockaway, NY), Great Health Aftx PC (Stamford, TX), Senior Doc Georgia, PC (Orange, CA) and J M Geiss Do Apc (Santa Ana, CA). 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 Fenia Philemond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fenia Philemond accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Health, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Fenia Philemond 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 Fenia Philemond was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.