Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Justin Marcus Fender, R-NP

Individual provider Family Nurse Practitioner · NPI 1164772372

Mr. Justin Marcus Fender, R-NP is a Family Nurse Practitioner in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
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Practice location Address checks out

1400 Peterson Ave N Ste C
Douglas, GA 31533-2832
Phone: (912) 384-4000
Fax: (912) 384-4029
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN 194077 (GA)

Record details

NPI number1164772372
Entity typeIndividual (Type 1)
GenderMale
Credentials R-NP
Sole proprietorNo
NPI enumeratedSeptember 14, 2012
Last updated in NPPESDecember 2, 2016

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients163
Services billed 181 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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