Individual provider Active NPI

Janell J Fenn, NP

  • Nurse Practitioner
  • Johns Creek, GA
National Provider Identifier
1245832971
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN188392 Issued in GA
Practice address
11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200
Phone
(251) 901-3011
Fax
(251) 901-3011
NPI assigned
Nov 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN188392 GA Primary
Medical Oncology Physician 207RX0202X RN188392 GA

Addresses

Primary practice location

11555 Medlock Bridge Rd Ste 100
Johns Creek, GA 30097-3200

Mailing address

PO Box 8209
Vienna, VA 22183-2058
Phone (251) 901-3011

Other practice location 1

2 Maryland Farms Ste 210
Brentwood, TN 37027-5007
Phone (251) 901-3011

Other names 1

  • Janell Fenn Professional name

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
I20210105001913 GA Practitioner - Nurse Practitioner 7618380999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2610 Sheridan Rd
Zion, IL 60099-2615

2805 Peachtree Industrial Blvd
Suite 213
Duluth, GA 30097-8171

600 Celebrate Life Pkwy
Newnan, GA 30265-8001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN188392GAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Healthcare LLC CurrentSince Sep 12, 2023 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Dec 7, 2020 Accepting new patients

Locations

2805 Peachtree Industrial Blvd
Ste 213
Duluth, GA 30097
Phone (678) 296-0842

3851 Postal Dr
Ste 200
Duluth, GA 30096
Phone (404) 919-5708

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 2

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": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1245832971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8209",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221832058",
            "telephone_number": "251-901-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11555 MEDLOCK BRIDGE RD STE 100",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973200",
            "telephone_number": "251-901-3011",
            "fax_number": "251-901-3011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Maryland Farms Ste 210",
            "address_purpose": "LOCATION",
            "city": "Brentwood",
            "state": "TN",
            "postal_code": "370275007",
            "country_code": "US",
            "telephone_number": "251-901-3011",
            "fax_number": "251-901-3011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENN",
        "first_name": "JANELL",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-09",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN188392",
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "GA",
            "license": "RN188392",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELL",
            "last_name": "FENN",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Johns Creek, GA

Sources for this page

Verify at the official NPI Registry.