Kristin Lamb Fenn, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP210229 Issued in GA

Practice address

1247 S 1St St
Jesup, GA 31545-7729

Phone

(912) 385-2739

Fax

(912) 385-2712

NPI assigned

Sep 11, 2014

Last updated

Feb 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Faith Family Practice LLCGroup PAC ID 3072934520, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Cooperative Healthcare Services Inc

  dba Southeast Georgia Physician Associates

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402
  Medicare reassignment Care Compare group NPD
• Faith Family Practice LLC

  • Family Medicine Physician
  • Waycross, GA
  • NPI 1649819343
  Medicare reassignment Care Compare group NPD
• Sandra L. Mager, M.D.P.C.

  • Obstetrics & Gynecology Physician
  • Jesup, GA
  • NPI 1770839607
  Medicare reassignment NPD

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1134520984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315457729",
            "telephone_number": "912-385-2739",
            "fax_number": "912-385-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315457729",
            "telephone_number": "912-385-2739",
            "fax_number": "912-385-2712"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315017020",
            "country_code": "US",
            "telephone_number": "912-490-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENN",
        "first_name": "KRISTIN",
        "middle_name": "LAMB",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP210229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• F M Linder & Son LLC (Wayne Drug Company)
• F M Linder & Son LLC (Wayne Drug Co)
• Kelly Ashton Farrell, PA-C
• Fci Jesup
• Christopher John Feldman, PT
• Timothy Finley, DO
• Gary a. Lewis, D.M.D., P.a.
• Courtney Denise Gay, R.D.
• Genesis DME, Inc.
• Gentle Hands Corperation

• Family Nurse Practitioner in Jesup, GA
• Providers in Jesup, 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 Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.