Individual provider Active NPI

Aynaddis Fekadu, FNP-C

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1114264694
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP226586 Issued in GA
Practice address
125 King Ave
Suite 200
Athens, GA 30606-6734
Phone
(706) 369-4478
Fax
(706) 353-6639
NPI assigned
Jan 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP226586 GA Primary
Nurse Practitioner 363L00000X RN226586 GA

Addresses

Primary practice location

125 King Ave
Suite 200
Athens, GA 30606-6734

Mailing address

1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (706) 369-4478

Other identifiers 2

IdentifierTypeStateIssuer
003139840CMedicaidGA
20250I2758OtherGAMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aynaddis.fekadufnpc.p1@direct.gacancer.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160311002098 GA Practitioner - Nurse Practitioner 0143451609 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NSH Cancer Institute Professional Services G LLCGroup PAC ID 0840443164, 115 clinicians
Wellstreet of Georgia PCGroup PAC ID 7517126279, 425 clinicians

Practice addresses (Care Compare)

1000 Cowles Clinic Way
Magnolia BLDG M 200
Greensboro, GA 30642-4541
Phone (706) 454-0159

1045 Southcrest Dr
Suite 200
Stockbridge, GA 30281-6113
Phone (678) 289-0549

1305 Jennings Mill Rd
Suite 120
Watkinsville, GA 30677-7241
Phone (706) 410-2005

1909 N Columbia St
Milledgeville, GA 31061-2170
Phone (478) 354-4250

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

340 Exchange Blvd
Bethlehem, GA 30620-1759
Phone (706) 413-4500

485 Hwy 29 N
Athens, GA 30601-5583
Phone (706) 438-4080

740 Prince Ave
Suite 8B
Athens, GA 30606-5903
Phone (706) 389-5513

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP226586GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Emergency Medicine Specialists, PC CurrentSince Dec 30, 2015 Accepting new patients
Wellstreet of Georgia PC CurrentSince May 13, 2025 Accepting new patients
NSH Cancer Institute Professional Services G, LLC Current Accepting new patients
NSH Cancer Institute Professional Services G, LLC CurrentSince Jun 13, 2016 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Jun 13, 2016 Accepting new patients
Northside Imaging LLC Past Accepting new patients

Locations

125 King Ave
Ste 200
Athens, GA 30606
Phone (706) 369-4478

1199 Prince Ave
Athens, GA 30606
Phone (706) 354-3520

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

Interoperability endpoints

  • Direct secure messaging: aynaddis.fekadu@624801872019460.direct.elationemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1114264694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411071",
            "telephone_number": "706-369-4478",
            "fax_number": "706-353-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 KING AVE",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306066734",
            "telephone_number": "706-369-4478",
            "fax_number": "706-353-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEKADU",
        "first_name": "AYNADDIS",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP226586",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN226586",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003139840C",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "20250I2758",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aynaddis.fekadufnpc.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "125 King Ave",
            "address_2": "Suite 200",
            "city": "Athens",
            "state": "GA",
            "country_code": "US",
            "postal_code": "306066734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.