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

Individual provider Psychiatry Physician · NPI 1114091469

Kaney Jervelle Fedovskiy, MD is a Psychiatry in Atlanta, Georgia. Qualified in 2002, 24 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
24
Licensed in
CA, GA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

80 Jesse Hill Jr Dr SE #26024
Atlanta, GA 30303-3031
Phone: (404) 616-6689
Fax: (404) 616-0207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 054710 (GA)
Psychiatry Physician Taxonomy 2084P0800X · Licence A97005 (CA)

Record details

NPI number1114091469
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedNovember 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address170 Boulevard Se, Apt #E122, Atlanta, GA 30312-2325

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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