P Praxis·MD
● Active Type 1 · Individual

Jenna Corinne Coon Fussell, MD

Surgery·Snellville, GA· NPI 1467938084 · Enumerated 2018 · 7 years on NPI
Fussell is 1 of 12 surgery providers in Snellville and 1 of 1389 in Georgia.
NPI age
7 years
Enumerated 2018-07-17
Primary specialty
Surgery
Plus 2 subspecialties
Licensed in
GA, MI
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-10-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
7 years
↓ 10 yr below median (17 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-07Enumerated in NPPES
2018 2026

Where they practice

Practice location
1700 Tree Ln Ste 320
Snellville, GA 300786747
📞 7709727999
Mailing address
221 Michign St Ne Ste 402
Grand Rapids, MI 495032538
📞 6163911405fax 6163918611

Additional practice locations

1 secondary location on file with NPPES.

Location 2
221 Michign St Ne Ste 402
Grand Rapids, MI 495032538
📞 6163911405fax 6163918611

Specialties

  • Surgery Primary
    A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and...
    GA license #96435MI license #4351035412MI license #4301115839 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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