P Praxis·MD
● Active Type 1 · Individual

Ivy Akua Fenin, NP

Nurse Practitioner·Austell, GA· NPI 1780039131 · Enumerated 2016 · 10 years on NPI
Fenin is 1 of 41 nurse practitioner providers in Austell and 1 of 3206 in Georgia.
NPI age
10 years
Enumerated 2016-05-03
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-03-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3206 active nurse practitioner providers in Georgia.

NPI age
10 years
↑ 2 yr above median (8 yr)
State licenses
1 state
8% of peers hold multiple states
Subspecialties
1
In the 30% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-05Enumerated in NPPES
2016 2026

Where they practice

Practice location
4120 Austell Rd
Austell, GA 301061841
📞 6787321500
Mailing address
Po Box 102038
Atlanta, GA 303682038

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
563 Greyhawk Way
Fairburn, GA 302134618
📞 6785779287
Location 3
3116 Highway 34 E
Newnan, GA 302651342
📞 6787321521

Specialties

  • Nurse Practitioner Primary
    (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
    GA license #RN185101 taxonomy 363L00000X
  • Family Medicine
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #RN185101 taxonomy 207Q00000X

Identifiers

TypeValueNotes
01 (GA) RN185101 RN
01 (GA) RN185101 APRN

Practice context

Part of a multi-provider practice. 12 other active providers share 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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