Janet I Fedullo, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

12027 Issued in TN

Practice address

1360 Upper Hembree Rd Ste 101
Roswell, GA 30076-1230

Phone

(770) 817-1970

Fax

(770) 817-1980

NPI assigned

May 18, 2006

Last updated

Nov 18, 2010By the provider in NPPES

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

Other names 1

• Mrs. Janet I Fedullo Former name

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Certified Nurse Midwife (CNM)

Education

Emory University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medcura Health, IncGroup PAC ID 2961443643, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janet.fedullo.1@9679.direct.athenahealth.com

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.

• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Stone Mountain, GA
  • NPI 1417011487
  Medicare reassignment Care Compare group NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1811761448
  NPD
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1053856856
  NPD (past)
• Medcura Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
  • NPI 1225573025
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1841243318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 UPPER HEMBREE RD STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761230",
            "telephone_number": "770-817-1970",
            "fax_number": "770-817-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 UPPER HEMBREE RD STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761230",
            "telephone_number": "770-817-1970",
            "fax_number": "770-817-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDULLO",
        "first_name": "JANET",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TN",
            "license": "12027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "621178892",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "FEDULLO",
            "middle_name": "I",
            "prefix": "MRS.",
            "credential": "CNM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jo Ellen Farner, CRNP
• Florence Fashola
• Scott William Featherstone, D.C.
• Federal Injury Center of Atlanta
• Rhona Tiongson Federer, MD
• Katelyn Feinsmith, RBT
• Jason M Feld, M.C.D., CCC-A
• Susannah Rachel Felton, DMD
• Ferdos Health, PC
• Danielle Nichole Ferguson, MS, APC, NCC

• Advanced Practice Midwife in Roswell, GA
• Providers in Roswell, GA by specialty
• Advanced Practice Midwife in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.