Active NPI 1780039131 Individual Practitioner Female Practitioner

Ivy Akua Fenin , NP

Nurse Practitioner • Austell, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Ivy Fenin, NP is a certified Nurse Practitioner practicing in Austell, GA. With approximately 11 years of clinical experience since completing medical education in 2015, Ivy Fenin delivers high-quality medical care to the local community at 4120 AUSTELL RD.

Ivy Fenin is affiliated with Piedmont Professional Services Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, detection test by immunoassay with direct visual observation for influenza virus, 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4120 Austell Rd

Austell, GA 301061841

Telephone 6787321500

Associated Practice Facility / Clinic

🏢 Walgreen Co Facility NPI 1225043433

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Austell, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -1.2 yrs vs City Avg

City Avg: 12.2 Yrs

State Avg: 10.5 Yrs

Regional Practice Density

40 Specialists

Practicing in Austell, GA (3149 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fenin (11 Years) 11 Yrs

Austell Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	77	$334.18	$107.54
87804 Detection test by immunoassay with direct visual observation for influenza virus	72	36	$46.24	$16.22
99213 Established patient office or other outpatient visit, typically 15 minutes	62	61	$244.20	$77.90
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	38	38	$59.00	$50.28
71046 X-ray of chest, 2 views	30	30	$99.50	$27.02
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	22	$50.65	$16.20
81002 Urinalysis, manual test	22	21	$20.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$312.84	$95.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$478.82	$143.86
90662 Influenza vaccine split virus, preservative free	13	13	$219.00	$81.82
G0008 Administration of influenza virus vaccine	13	13	$57.00	$32.05
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	11	11	$150.00	$50.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus	87	44	$46.55	$16.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	73	$320.00	$103.50
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	60	60	$59.00	$50.28
99213 Established patient office or other outpatient visit, typically 15 minutes	52	49	$220.00	$72.94
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	31	31	$47.00	$16.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$389.77	$135.72
81002 Urinalysis, manual test	30	30	$20.00	$3.41
71046 X-ray of chest, 2 views	29	28	$99.50	$26.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$255.68	$90.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	64	61	$253.00	$72.79
36415 Insertion of needle into vein for collection of blood sample	22	22	$23.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$370.00	$102.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	118	$253.00	$73.92
81003 Automated urinalysis test	15	15	$9.00	$2.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$370.00	$104.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	79	76	$39.00	$19.91
G0008 Administration of influenza virus vaccine	33	33	$26.00	$16.94
90662 Influenza vaccine split virus, preservative free	28	28	$44.00	$44.00
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	19	18	$91.05	$35.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$139.00	$93.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	36	$136.50	$92.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$136.27	$92.56
G0008 Administration of influenza virus vaccine	29	29	$26.00	$16.60
90662 Influenza vaccine split virus, preservative free	29	29	$44.00	$43.12
81002 Urinalysis, manual test	16	14	$35.00	$3.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	33	$129.00	$89.27
G0008 Administration of influenza virus vaccine	35	35	$26.00	$20.45
90662 Influenza vaccine split virus, preservative free	33	33	$44.00	$43.12
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$35.00	$16.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$129.00	$90.14
90471 Administration of 1 vaccine	12	12	$26.00	$17.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$129.00	$91.07
G0008 Administration of influenza virus vaccine	40	39	$25.13	$24.51
90662 Influenza vaccine split virus, preservative free	38	37	$44.00	$42.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	28	$129.00	$91.53

Medical Specialties & State Licenses

CMS Verified: 2024-03-27

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN185101

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License GA RN185101

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rn

RN185101 (GA)

Commercial Insurance / Payer ID Aprn

RN185101 (GA)

Hospital & Practice Group Affiliations

Piedmont Professional Services Llc

3116 Hwy 34 E, Newnan, GA 302651342

Phone: 6787321521

Secondary Practice Locations

563 Greyhawk Way

Fairburn, GA 302134618

Phone: 6785779287

3116 Highway 34 E

Newnan, GA 302651342

Phone: 6787321521

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners

Jennifer Carruth , NP

Nurse Practitioner - Family

NPI 1033408331

Nurse Practitioner

Nneka Okpara , NP

Nurse Practitioner - Family

NPI 1063964039

Nurse Practitioner

Miriam Vohrer , NP

Nurse Practitioner - Family

NPI 1114381282

Nurse Practitioner

Lynn Bui

Nurse Practitioner - Family

NPI 1215527700

Elizabeth Maimo , FNP

Nurse Practitioner - Family

NPI 1295216216

Family Nurse Practitioner

Alexis Mitchell , CRNP

Nurse Practitioner

NPI 1356851406

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location March 27, 2024

Registered at 4120 AUSTELL RD, AUSTELL, GA 301061841 (Tel: 6787321500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2024

Family Medicine (License #RN185101 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2021

Nurse Practitioner (License #RN185101 in GA)

📍

Updated Practice Location March 29, 2021

Registered at 3116 HIGHWAY 34 E, NEWNAN, GA 302651342 (Tel: 6787321521)

📍

Updated Business Mailing Address March 29, 2021

Registered at PO BOX 102038, ATLANTA, GA 303682038

👤

Provider Name / Credentials Updated March 29, 2021

Recorded as IVY FENIN, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2021

Nurse Practitioner (License #RN185101 in GA)

✅

NPI Profile Active May 03, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 03, 2016

Registered at 101 LEXINGTON CIR, PEACHTREE CITY, GA 302696845 (Tel: 7704861639)

📍

Updated Business Mailing Address May 03, 2016

Registered at 563 GREYHAWK WAY, FAIRBURN, GA 302134618 (Tel: 6785779287)

👤

Provider Name / Credentials Updated May 03, 2016

Recorded as IVY FENIN, APRN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2016

Nurse Practitioner (License #RN185101 in GA)

🟢

Initial NPI Registration & Enumeration May 03, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780039131

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 03, 2016

Last Update: March 27, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 102038

Atlanta, GA 303682038

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.