Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Justin Marcus Fender, R-NP

Family Nurse Practitioner in Douglas, GA · enumerated 2012.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164772372

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Registry record

Entity type Individual (Type 1)

Name Mr. Justin Marcus Fender

Credential R-NP

Sex Male

Practice address 1400 Peterson Ave N, Suite C, Douglas, GA, 31533

Phone (912) 384-4000

Fax (912) 384-4029

Enumeration date Sep 14, 2012

Last updated in NPPES Dec 2, 2016

Taxonomy & licenses

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License RN 194077 (GA) Primary

Other identifiers

Identifier	Type	State	Issuer
003128519F	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Justin Fender?

The National Provider Identifier (NPI) for Justin Fender is 1164772372, a Type 1 (individual) record in the CMS NPPES registry.

Where does Justin Fender practice?

The practice location on file with NPPES is in Douglas, GA. Providers can have multiple locations; NPPES lists the primary practice address.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-12-02.