Active NPI
Patricia Barrett Fennessy, MD
- Obstetrics & Gynecology Physician
- Plains, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 001169
- Practice address
- 107 Main St
Plains, GA 31780 - Phone
- (229) 824-4444
- NPI assigned
- Jan 23, 2008
- Last updated
- May 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 001169 | GA | Primary |
Addresses
Primary practice location
107 Main St
Plains, GA 31780
Mailing address
250 Martin Luther King Jr Blvd
Macon, GA 31201
Phone (478) 301-2362
Other practice location 1
107 Main St
Plains, GA 31780
Phone (229) 824-4444
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Mercer University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Yorktown Dr
Fayetteville, GA 30214-1578
101 Yorktown Dr
Suite 100
Fayetteville, GA 30214-7663
Phone (770) 460-4285
107 Main St
Plains, GA 31780-5570
Phone (229) 825-4444
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001169 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| The Corporation of Mercer University | Current | Accepting new patients | |
| Privia Medical Group of Georgia LLC | Current | Accepting new patients | |
| Phoebe Physician Group, Inc | Current | Accepting new patients | |
| The Corporation of Mercer University | Current | Accepting new patients | |
| Movement Sports Physical Therapy, LLC | Current | Accepting new patients | |
| Albany Family Practice LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802
500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802
151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
1550 College St
Macon, GA 31207
Phone (478) 301-2600
250 Mlk Blvd
Macon, GA 31201
Phone (478) 301-2362
Interoperability endpoints
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- patricia.fennessy.1@8042.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1013313857
-
- Clinic/Center
- Albany, GA
- NPI 1487899464
-
dba Mercer Medicine
- Family Medicine Physician
- Macon, GA
- NPI 1174693162
-
- Family Medicine Physician
- Albany, GA
- NPI 1952358111
-
- Physical Therapist
- Atlanta, GA
- NPI 1902144793
-
- Internal Medicine Physician
- Savannah, GA
- NPI 1356907273
-
dba Mercer University Center for IDD Care
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1841171998
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Americus, GA
- NPI 1609001312
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1144407917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 MARTIN LUTHER KING JR BLVD",
"city": "MACON",
"state": "GA",
"postal_code": "31201",
"telephone_number": "478-301-2362",
"fax_number": "478-301-2272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 MAIN ST",
"city": "PLAINS",
"state": "GA",
"postal_code": "31780",
"telephone_number": "229-824-4444"
}
],
"practiceLocations": [
{
"address_1": "107 Main St",
"address_purpose": "LOCATION",
"city": "Plains",
"state": "GA",
"postal_code": "31780",
"country_code": "US",
"telephone_number": "229-824-4444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FENNESSY",
"first_name": "PATRICIA",
"middle_name": "BARRETT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-23",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "001169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plains, GA
- Latonya Quanta Blackmon
- Jennifer Lynn Bryant, LPC
- Sarah Cantrell, FNP-BC
- Clinic Drug Store (Plains Pharmacy)
- Clinic Drug Store, Inc. (Plains Pharmacy)
- Lillian Carter Health Center LLC
- Lillian G. Carter Nursing Center LLC (Lillian G. Carter Nursing Center)
- Lillian G. Carter Nursing Center LLC (Lillian G. Carter Health and Rehabilitation)
- Lillian G. Carter Nursing Center LLC (Lillian G. Carter Nursing Center)
- MGHP-Lillian Carter LLC (Lillian Carter Health and Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.