IVY AKUA FENIN NP
NPI 1780039131
Nurse Practitioner in Austell, GA
About Ivy Akua Fenin Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVY AKUA FENIN NP (NPI 1780039131) is an individual nurse practitioner in Austell, Georgia, licensed in Georgia (RN185101) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 2
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
Ivy Akua Fenin 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ivy Fenin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hiram, GA 30141
- Reassigned Medicare billing, Georgia enrollment
- 551 clinicians in this Medicare group
Atlanta, GA 30307
- Reassigned Medicare billing, Georgia enrollment
- 427 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 565 clinicians in this Medicare group
Richmond Hill, GA 31324
- Reassigned Medicare billing, Georgia enrollment
- 18 clinicians in this Medicare group
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 12
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTELL, GA 30106
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 Ivy Fenin's NPI number?
The NPI number for Ivy Fenin is 1780039131. It was assigned to this individual provider in the NPPES registry on May 3, 2016.
Where is Ivy Fenin located?
Ivy Fenin practices at 4120 Austell Rd, Austell, GA 30106. The listed phone number is (678) 732-1500.
What is Ivy Fenin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Ivy Fenin enrolled in Medicare?
Yes. Ivy Fenin 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 Ivy Fenin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Fenin reassigns Medicare benefits to 4 organizations: Peachtree Immediate Care Fp, LLC (Hiram, GA), Piedmont Medical Care Corporation (Atlanta, GA), Piedmont Professional Services, LLC (Stockbridge, GA) and Georgia Primary Care Partners, LLC (Richmond Hill, GA). 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 Ivy Fenin'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 Ivy Fenin was last updated on March 27, 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.
# Ivy Akua Fenin, NP · NPI 1780039131
Nurse Practitioner physician in Austell, Georgia. Individual provider, active in the CMS NPPES registry since May 3, 2016.
## Identity
- **NPI:** 1780039131 (Entity type: Individual)
- **Enumerated:** May 3, 2016
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN185101 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4120 AUSTELL RD, Austell, GA 30106-1841
- **Phone:** (678) 732-1500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Peachtree Immediate Care Fp, LLC (NPI 1437194156, Hiram, GA); Piedmont Medical Care Corporation (NPI 1912956046, Atlanta, GA); Piedmont Professional Services, LLC (NPI 1104088905, Stockbridge, GA); Georgia Primary Care Partners, LLC (NPI 1144084856, Richmond Hill, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 27, 2024
- **Other identifiers:** Other RN185101 (GA); Other RN185101 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1780039131) · Data from the CMS NPPES public registry.