Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivy Akua Fenin, NP

Individual provider Family Medicine Physician · NPI 1780039131

Ivy Akua Fenin, NP is a Nurse Practitioner in Austell, Georgia. Qualified in 2015, 11 years ago. Practices with Piedmont Professional Services LLC, a 163-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4120 Austell Rd
Austell, GA 30106-1841
Phone: (678) 732-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 563 Greyhawk Way, Fairburn, GA 30213-4618 — (678) 577-9287
  • 3116 Highway 34 E, Newnan, GA 30265-1342 — (678) 732-1521

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN185101 (GA)
Family Medicine Physician Taxonomy 207Q00000X · Licence RN185101 (GA)

Record details

NPI number1780039131
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMay 3, 2016
Last updated in NPPESMarch 27, 2024
Certification dateMarch 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Piedmont Professional Services Llc — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Austell