MS. AYNADDIS FEKADU (NPI# 1114264694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114264694 |
| Entity Type | Individual |
| Full Name | MS. AYNADDIS FEKADU |
| Credential | FNP-C |
| Practice Address |
125 King Ave Suite 200 Athens GA 30606-6734 |
| Mailing Address |
1835 Savoy Dr Suite 300 Atlanta GA 30341-1072 |
| Practice Telephone | 7063694478 |
| Practice Fax Number | 7063536639 |
| Mailing Telephone | 7063694478 |
| Mailing Fax Number | 7063536639 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN226586 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN226586 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003139840C | 05 | |
| GA | MEDICARE PTAN | 20250I2758 | 01 |
| Street Address |
125 KING AVE SUITE 200 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606-6734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871587113 | Priya Rudolph | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2005-09-01 |
| 1215320098 | Athens Orthopedic Clinic, Pa | Orthopaedic Surgery | 125 King Ave, Athens, GA 30606-6734 | 2015-03-18 |
| 1700137874 | Nsh Cancer Institute Professional Services G LLC | Durable Medical Equipment & Medical Supplies | 125 King Ave, 2nd Floor, Suite 200, Athens, GA 30606-6734 | 2012-09-28 |
| 1063656106 | Jenifer Susan Miller | Nurse Practitioner | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2009-04-20 |
| 1265640247 | Georgia Cancer Specialists I PC | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2007-05-21 |
| 1306059613 | Charles Lawton Ogburn IIi | Orthopaedic Surgery | 125 King Ave, Athens, GA 30606-6734 | 2007-05-07 |
| 1801011473 | Nirav S. Dhruva | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2007-04-17 |
| 1750419487 | Ranjana Satyamurthy Bhargava | Internal Medicine | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2007-03-02 |
| 1952485377 | Dortheann Metzinger | Social Worker | 125 King Ave, Suite 200, Athens, GA 30606-6734 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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 or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1861982993 | Sarah Standard Lockwood | Nurse Practitioner | 210 Lexington Cir, Athens, GA 30605-4991 | 2018-05-15 |
| 1447798616 | Kristy Leanne Williams | Nurse Practitioner | 101 Fitness Way Ste 1200, Athens, AL 35611-2492 | 2017-02-07 |
| 1790959708 | Bertha Stauff | Nurse Practitioner | 700 Sunset Drive Suite 504, Athens, GA 30606 | 2008-04-22 |
| 1295906634 | Wendy Lynn Prince | Nurse Practitioner | 725 W Market St Ste B, Athens, AL 35611-2456 | 2008-03-13 |
| 1386868768 | Holly Collier | Nurse Practitioner | 1088 Baxter St Ste A, Athens, GA 30606-6316 | 2007-04-13 |
| 1467552315 | Margaret A. Tonkovich | Nurse Practitioner | 542 W Union St Ste B, Athens, OH 45701-8300 | 2006-09-22 |
| 1073526547 | Benna Ellis Cunningham | Nurse Practitioner | 370 River Road, Athens, GA 30602-1755 | 2006-08-14 |
| 1871502732 | Cynthia Nixon | Nurse Practitioner | 704 S Palestine St, Athens, TX 75751-3325 | 2006-08-07 |
| Find all providers in ATHENS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.