Individual provider Active NPI

Fenia J Philemond, NP

  • Adult Health Nurse Practitioner
  • Acworth, GA
National Provider Identifier
1386135283
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN155547 Issued in GA
Practice address
3590 Cobb Pkwy NW Ste 401
Acworth, GA 30101-4016
Phone
(678) 492-8230
NPI assigned
May 25, 2018
Last updated
Jul 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN155547 GA
Adult Health Nurse Practitioner 363LA2200X RN155547 GA Primary

Addresses

Primary practice location

3590 Cobb Pkwy NW Ste 401
Acworth, GA 30101-4016

Mailing address

101 Chase Ave
Lakewood, NJ 08701-4760
Phone (212) 201-1252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, TX, FL, TN, CT5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20200121000435 GA Practitioner - Nurse Practitioner 3476988403 Reassigns benefits to 3 organizations
I20240311002700 TX Practitioner - Nurse Practitioner 3476988403 Reassigns benefits to 1 organization
I20250413000041 FL Practitioner - Nurse Practitioner 3476988403 Reassigns benefits to 1 organization
I20250415003078 TN Practitioner - Nurse Practitioner 3476988403 Reassigns benefits to 1 organization
I20260415003309 CT Practitioner - Nurse Practitioner 3476988403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5 Hutton Centre Dr
Suite 950
Santa Ana, CA 92707-8786

Merit-based Incentive Payment System (MIPS)

Final score
23.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J M Geiss DO Apc Single Specialty CurrentSince Feb 2, 2026 Accepting new patients
Senior Doc Georgia, PC Single Specialty CurrentSince Feb 2, 2026 Accepting new patients
Great Health Aftx PC Single Specialty CurrentSince Jan 29, 2024 Accepting new patients
Multiviz Medical Services PC Single Specialty CurrentSince Jan 26, 2025 Accepting new patients
Great Health Medical Ga PC Single Specialty CurrentSince Jul 20, 2023 Accepting new patients
Rockaway HD LLC Past Accepting new patients

Locations

5 Hutton Centre Dr
Ste 950
Santa Ana, CA 92707
Phone (855) 434-7663

15 N Main St
Ste 100
West Hartford, CT 06107
Phone (214) 532-3757

7300 Del Prado Cir S
Boca Raton, FL 33433
Phone (561) 392-3000

260 Peachtree St NW
Ste 2200
Atlanta, GA 30303
Phone (669) 231-6870

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

529 Beach 20th St
Ste 1
Far Rockaway, NY 11691
Phone (718) 327-4503

329 Murfreesboro Pike
Nashville, TN 37210
Phone (615) 244-6900

1003 Columbia St
Stamford, TX 79553
Phone (325) 773-3671

Interoperability endpoints

  • Direct secure messaging: fenia.philemond.1@14883.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1386135283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CHASE AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014760",
            "telephone_number": "212-201-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 COBB PKWY NW STE 401",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301014016",
            "telephone_number": "678-492-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILEMOND",
        "first_name": "FENIA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN155547",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN155547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

Verify at the official NPI Registry.