IVY AKUA FENIN (NP) – Nurse Practitioner, NPI 1780039131
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,652 NURSE PRACTITIONER in GA
Provider Addresses for IVY AKUA FENIN (NP)
563 GREYHAWK WAY
FAIRBURN, GA 302134618
Phone: (678) 577-9287
Type: Mailing
PO BOX 102038
ATLANTA, GA 303682038
Phone:
Type: Mailing
3116 HIGHWAY 34 E
NEWNAN, GA 302651342
Phone: (678) 732-1521
Type: Location
563 Greyhawk Way
Fairburn, GA 302134618
Phone: (678) 577-9287
Type: Location
3116 Highway 34 E
Newnan, GA 302651342
Phone: (678) 732-1521
Type: Location
Lexington Circle, Parkway Estates, Shake Rag, Peachtree City, Fayette County, Georgia, 30269, United States
PEACHTREE CITY, GA 302696845
Phone: (770) 486-1639
Type: Location
4120 AUSTELL RD
AUSTELL, GA 301061841
Phone: (678) 732-1500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-05-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160526000390 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 87 | 44 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 73 | $0 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 60 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 52 | 49 | $0 |
| 87880 | Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) | 31 | 31 | $0 |
Insurance plans in this area (ZIP 30213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | GA | |
| Family Practice, General Practice | GA | |
| Physician Assistant | SC | |
| - | GA | |
| General Practice, Family Practice | SC | |
| Nurse Practitioner | GA |
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