Individual provider Active NPI

Audrey Fenin, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Columbia, SC
National Provider Identifier
1497185706
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD52835 Issued in SC
Practice address
9 Medical Park Drive
Suite 320
Columbia, SC 29203
Phone
(843) 513-3012
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X DR.0069309 CO
Pediatrics Physician 208000000X 55393 TN
Neonatal-Perinatal Medicine Physician 2080N0001X MD52835 SC Primary

Addresses

Primary practice location

9 Medical Park Drive
Suite 320
Columbia, SC 29203

Mailing address

9 Medical Park Dr
Suite 320
Columbia, SC 29203
Phone (843) 513-3012

Other practice location 1

6001 E Woodmen Rd
Colorado Springs, CO 80923-2601
Phone (719) 571-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251015000895 CO Practitioner - Pediatric Medicine 2961778923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

9100 E Mineral Cir
Centennial, CO 80112-3401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55393TNMDPediatrics Physician
DR.0069309COMDNeonatal-Perinatal Medicine Physician
MD52835SCMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado Pediatrics CurrentSince Nov 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Nov 1, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Commonspirit Kansas, Inc. Past Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

6001 E Woodmen Rd
Colorado Springs, CO 80923
Phone (719) 571-1000

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

1010 Three Springs Blvd
Durango, CO 81301
Phone (970) 247-4311

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 7

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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1497185706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PARK DR",
            "address_2": "SUITE 320",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "843-513-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PARK DRIVE",
            "address_2": "SUITE 320",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "843-513-3012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 E Woodmen Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809232601",
            "country_code": "US",
            "telephone_number": "719-571-4500",
            "fax_number": "719-571-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENIN",
        "first_name": "AUDREY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "CO",
            "license": "DR.0069309",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "55393",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "SC",
            "license": "MD52835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.