Athena Joann Fountain, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN101700 Issued in GA

Practice address

340 Hodgson CT
Suite 2
Savannah, GA 31406-1520

Phone

(912) 629-2290

Fax

(912) 629-2291

NPI assigned

Apr 25, 2007

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

Other identifiers 1

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeast Lung and Critical Care Specialists PC 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Candler Hospital Hospital, Savannah, GA, CCN 110024

Merit-based Incentive Payment System (MIPS)

Final score

85.85 of 100Reported as group

Quality

81.9

Promoting interoperability

100

Improvement activities

40

Cost

70.94

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 and National Provider Directory roles.

• Southeast Lung & Critical Care Specialists, P.C.

  • Specialist
  • Savannah, GA
  • NPI 1740244276

  GA

  Medicare reassignment Care Compare group NPD
• Southeast Lung & Critical Care Specialists, PC

  • Pulmonary Disease Physician
  • Bluffton, SC
  • NPI 1164789251
  Care Compare group
• Southeast Lung & Critical Care Specialists

  • Pulmonary Disease Physician
  • Baxley, GA
  • NPI 1366064164
  NPD
• Southeast Lung & Critical Care Specialists, PC

  • Pulmonary Disease Physician
  • Brunswick, GA
  • NPI 1598189805
  NPD
• Southeast Lung & Critical Care Specialists

  • Sleep Specialist (PhD)
  • Rincon, GA
  • NPI 1194975086
  NPD (past)
• Southeast Lung & Critical Care Specialists P C

  • Pulmonary Disease Physician
  • Hinesville, GA
  • NPI 1528578028
  NPD (past)
• Southeast Lung & Critical Care Specialists, P.C.

  • Pulmonary Disease Physician
  • Savannah, GA
  • NPI 1023383247
  NPD (past)
• Southeast Lung & Critical Care Specialists, PC

  • Pulmonary Disease Physician
  • Jesup, GA
  • NPI 1447628789

  Family

  NPD (past)
• Southeast Lung & Critical Care Specialists, PC

  • Pulmonary Disease Physician
  • Savannah, GA
  • NPI 1770989154
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Candler Hospital Incorporated

  • General Acute Care Hospital
  • Savannah, GA
  • NPI 1275527889

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408406400000",
    "number": "1356560577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14417",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314161417",
            "telephone_number": "912-629-2290",
            "fax_number": "912-629-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HODGSON CT",
            "address_2": "SUITE 2",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061520",
            "telephone_number": "912-629-2290",
            "fax_number": "912-629-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "ATHENA",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2014-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN101700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003129391A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Foster
• Jonathan Foster, CST
• Kaleigh Ann Foster
• Ruth M Foster, LCSW
• Taylor Foster
• Krista Wilson Fountain, OTR/L
• Jennifer Fournier, APRN
• Shaniqua Foushee, RBT
• Jennifer Marie Fox, CSFA
• Paige Fox, ATC, LAT

• All providers in Savannah, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.