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

Jordan Martha Lee Fenner

Individual provider Diagnostic Radiology Physician · NPI 1356831622

Jordan Martha Lee Fenner is a Diagnostic Radiology in Chapel Hill, North Carolina. Qualified in 2018, 8 years ago. Practices with Group Health Cooperative of South Central Wisconsin, a 234-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Wisconsin.

Years since qualifying
8
Licensed in
NC, WI
In the registry since
2018
Specialties on file
2

Practice location Address checks out

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone: (984) 974-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3623 Latrobe Dr Ste 216, Charlotte, NC 28211-2117 — (704) 332-1291

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 84156 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2020-03182 (NC)

Record details

NPI number1356831622
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 12, 2018
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Group Health Cooperative Of South Central Wisconsin — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Chapel Hill