Tina Nicole Feldman, RN

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

RN130165 Issued in GA

Practice address

196 Scoggins Dr
Demorest, GA 30535-5354

Phone

(706) 894-3700

Fax

(706) 894-3714

NPI assigned

Apr 7, 2009

Last updated

Apr 7, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Mountains Community Services

  • Mental Health Counselor
  • Demorest, GA
  • NPI 1083717912
  NPD (past)
• Georgia Mountains Community Services

  • Developmentally Disabled Services Day Training Agency
  • Clarkesville, GA
  • NPI 1265596878
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239062400000",
    "number": "1073756011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 THURMON TANNER RD",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422829",
            "telephone_number": "678-513-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 SCOGGINS DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305355354",
            "telephone_number": "706-894-3700",
            "fax_number": "706-894-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "TINA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN130165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Kleinert Fairbairn, DMD
• Family Care Clayton, LLC
• Family Practice of Habersham PC (Habersham Primary Care)
• Family Practice of Habersham PC
• Tammy Danielle Farmer, FNP-BC
• Mark H. Ferdos, DMD
• Tracy A Ferguson, FNP-C
• Sloan Fletcher
• Jessica J Flow-Bagwell, FNP-BC
• Marcella Edwards Ford, NP-C

• Psychiatric/Mental Health Registered Nurse in Demorest, GA
• Providers in Demorest, GA by specialty
• Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.