CVS Minute Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN185101 Issued in GA

Legal business name

CVS MINUTE CLINIC

Practice address

101 Lexington Cir
Peachtree City, GA 30269-6845

Phone

(770) 486-1639

NPI assigned

Apr 22, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Ivy Akua Fenin, APRNNPI 1780039131

Title

FNP

Phone

(678) 577-9287

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivy Akua Fenin, NP

  • Nurse Practitioner
  • Austell, GA
  • NPI 1780039131

  Family

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1003260324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 GREYHAWK WAY",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134618",
            "telephone_number": "678-577-9287",
            "fax_number": "770-774-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LEXINGTON CIR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302696845",
            "telephone_number": "770-486-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CVS MINUTE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "FENIN",
        "authorized_official_first_name": "IVY",
        "authorized_official_middle_name": "AKUA",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "678-577-9287",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN185101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda A Crockett
• Crosstown Clinics LLC
• Lisa Jeannine Crow Demars, NP
• Dalia Cuevas Madrigal, MS,APC,NCC
• Clay Cutts, L.M.S.W.
• Brandy Lea Czock, NP-C
• Dominick M D'Auria, D.D.S.
• D&D Milestones, LLC
• Annamma Daniel, MD
• Kayla Daniels

• Family Nurse Practitioner in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.