Active NPI
Fenia J Philemond, NP
- Adult Health Nurse Practitioner
- Acworth, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN155547
- 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, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 77.28
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J M Geiss DO Apc | Single Specialty | Current | Accepting new patients |
| Senior Doc Georgia, PC | Single Specialty | Current | Accepting new patients |
| Great Health Aftx PC | Single Specialty | Current | Accepting new patients |
| Multiviz Medical Services PC | Single Specialty | Current | Accepting new patients |
| Great Health Medical Ga PC | Single Specialty | Current | 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
- 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.